Active NPI
Anna A Desimone, L.M.P.
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1245361013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 00014485
- Practice address
- 2320 130TH Ave NE Ste E120
Bellevue, WA 98005-1752 - Phone
- (206) 940-6124
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 00014485 | WA | Primary |
Addresses
Primary practice location
2320 130TH Ave NE Ste E120
Bellevue, WA 98005-1752
Mailing address
2320 130TH Ave NE Ste E120
Bellevue, WA 98005-1752
Phone (206) 940-6124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 00014485 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1245361013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 130TH AVE NE STE E120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051752",
"telephone_number": "206-940-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 130TH AVE NE STE E120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051752",
"telephone_number": "206-940-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "ANNA",
"middle_name": "A",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 00014485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.