Individual provider Active NPI

Julia G Ducolon, MA

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1407319262
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60950003 Issued in WA
Practice address
1201 N 11TH St Apt 3
Tacoma, WA 98403-1535
Phone
(253) 298-0627
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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 60950003 WA Primary

Addresses

Primary practice location

1201 N 11TH St Apt 3
Tacoma, WA 98403-1535

Mailing address

1201 N 11TH St Apt 3
Tacoma, WA 98403-1535
Phone (253) 298-0627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliaducolon@therapysecure.com Health Information Exchange (HIE)

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60950003WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1407319262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 11TH ST APT 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031535",
            "telephone_number": "253-298-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 11TH ST APT 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031535",
            "telephone_number": "253-298-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOLON",
        "first_name": "JULIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60950003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliaducolon@therapysecure.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1201 N 11th St Apt 3",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984031535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.