Individual provider Active NPI

Gina M Venturini, LMT

  • Massage Therapist
  • Meridian, ID
National Provider Identifier
1376191775
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-3744 Issued in NU
Practice address
2857 S Meridian Rd Ste 100
Meridian, ID 83642-7960
Phone
(208) 888-5858
Fax
(208) 884-1508
NPI assigned
Aug 28, 2019
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 MAS-3744 NU Primary

Addresses

Primary practice location

2857 S Meridian Rd Ste 100
Meridian, ID 83642-7960

Mailing address

1775 W State St # 304
Boise, ID 83702-3924
Phone (303) 564-6559

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Chiropractic Clinic LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

2857 S Meridian Rd
#100
Meridian, ID 83642
Phone (208) 639-7300

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1376191775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W STATE ST # 304",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023924",
            "telephone_number": "303-564-6559",
            "fax_number": "208-884-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 S MERIDIAN RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427960",
            "telephone_number": "208-888-5858",
            "fax_number": "208-884-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURINI",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": "MAS-3744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.