Individual provider Active NPI

Maria Buena Musacchio

  • Massage Therapist
  • Mountain Home, ID
National Provider Identifier
1376763599
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
996 Issued in ID
Practice address
1515 Windmere Dr
Mountain Home, ID 83647-2497
Phone
(208) 580-1120
NPI assigned
Apr 30, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 996 ID Primary
Personal Care Attendant 3747P1801X ID
Nurse's Aide 376K00000X ID

Addresses

Primary practice location

1515 Windmere Dr
Mountain Home, ID 83647-2497

Mailing address

1515 Windmere Dr
Mountain Home, ID 83647-2497
Phone (208) 580-1120

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
996IDMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1376763599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 WINDMERE DR",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472497",
            "telephone_number": "208-580-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WINDMERE DR",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472497",
            "telephone_number": "208-580-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSACCHIO",
        "first_name": "MARIA",
        "middle_name": "BUENA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "996",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.