Active NPI
Carole Anne Raspaolo, LMP, BSNHS
- Massage Therapist
- Omak, WA
National Provider Identifier
1275880239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60242176
- Practice address
- 670 Riverside Dr.
Omak, WA 98841-1438 - Phone
- (509) 846-1000
- NPI assigned
- Aug 9, 2012
- Last updated
- Aug 9, 2012
- 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 | MA60242176 | WA | Primary |
Addresses
Primary practice location
670 Riverside Dr.
Omak, WA 98841-1438
Mailing address
1902 E South Riverton Ave
Apt 212
Spokane, WA 99207-5129
Phone (509) 389-8900
Other names 1
- Mrs. Carol Anne Nielsen
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 |
|---|---|---|---|
| MA60242176 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dena Byl | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1275880239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 E SOUTH RIVERTON AVE",
"address_2": "APT 212",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075129",
"telephone_number": "509-389-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 RIVERSIDE DR.",
"city": "OMAK",
"state": "WA",
"postal_code": "988411438",
"telephone_number": "509-846-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASPAOLO",
"first_name": "CAROLE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LMP, BSNHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60242176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "NIELSEN",
"middle_name": "ANNE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.