Individual provider Active NPI

Carole Anne Raspaolo, LMP, BSNHS

  • Massage Therapist
  • Omak, WA
National Provider Identifier
1275880239
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60242176 Issued in WA
Practice address
670 Riverside Dr.
Omak, WA 98841-1438
Phone
(509) 846-1000
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
MA60242176WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.