Active NPI
Nathan Charles Daggett, LMT
- Contractor
- Longview, WA
National Provider Identifier
1306191911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 18487
- Practice address
- 1903 Alabama St
Longview, WA 98632-1414 - Phone
- (503) 477-0460
- NPI assigned
- Jul 19, 2012
- Last updated
- Jul 19, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 18487 | OR | Primary |
Addresses
Primary practice location
1903 Alabama St
Longview, WA 98632-1414
Mailing address
1903 Alabama St
Longview, WA 98632-1414
Phone (503) 477-0460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18487 | Other | OR | MASSAGE LICENSE |
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 |
|---|---|---|---|
| 18487 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1306191911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 ALABAMA ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986321414",
"telephone_number": "503-477-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 ALABAMA ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986321414",
"telephone_number": "503-477-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGGETT",
"first_name": "NATHAN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "18487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE",
"identifier": "18487",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.