Active NPI
Tammy K Harter Rose, MASSAGE THERAPIST
- Massage Therapist
- Garden Grove, CA
National Provider Identifier
1467052621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 65304
- Practice address
- 12461 Tunstall Cir
Garden Grove, CA 92845-2442 - Phone
- (949) 289-6213
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 65304 | CA | Primary |
Addresses
Primary practice location
12461 Tunstall Cir
Garden Grove, CA 92845-2442
Mailing address
PO Box 15523
Long Beach, CA 90815-0523
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 |
|---|---|---|---|
| 65304 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1467052621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15523",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908150523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12461 TUNSTALL CIR",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452442",
"telephone_number": "949-289-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTER ROSE",
"first_name": "TAMMY",
"middle_name": "K",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "65304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.