Individual provider Active NPI

Tiffany Burke, LMT, DOULA, CBE

  • Massage Therapist
  • Alexandria, VA
National Provider Identifier
1437805587
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019018519 Issued in VA
Practice address
4809 W Braddock Rd Apt 100
Alexandria, VA 22311-4809
Phone
(571) 666-0555
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019018519 VA Primary
Doula 374J00000X NU

Addresses

Primary practice location

4809 W Braddock Rd Apt 100
Alexandria, VA 22311-4809

Mailing address

4809 W Braddock Rd Apt 100
Alexandria, VA 22311-4809
Phone (571) 666-0555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@bloomingauras.com

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
0019018519VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1437805587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 W BRADDOCK RD APT 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223114809",
            "telephone_number": "571-666-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 W BRADDOCK RD APT 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223114809",
            "telephone_number": "571-666-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "TIFFANY",
        "credential": "LMT, DOULA, CBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019018519",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@bloomingauras.com",
            "affiliation": "N",
            "endpointDescription": "business address",
            "address_1": "4809 W Braddock Rd Apt 100",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223114809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.