Individual provider Active NPI

Paulette Yvonne Bourget, LMT

  • Massage Therapist
  • Grand Junction, CO
National Provider Identifier
1487153565
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0018448 Issued in CO
Practice address
2232 N 7TH St Ste 14
Grand Junction, CO 81501-7454
Phone
(970) 640-7682
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT.0018448 CO Primary

Addresses

Primary practice location

2232 N 7TH St Ste 14
Grand Junction, CO 81501-7454

Mailing address

2277 Greenbriar CT
Grand Junction, CO 81507-1347
Phone (970) 331-3771

Other practice location 1

2277 Greenbriar Ct
Grand Junction, CO 81507-1347
Phone (970) 331-3771

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
MT.0018448COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487153565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 GREENBRIAR CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071347",
            "telephone_number": "970-331-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 N 7TH ST STE 14",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017454",
            "telephone_number": "970-640-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2277 Greenbriar Ct",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815071347",
            "country_code": "US",
            "telephone_number": "970-331-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGET",
        "first_name": "PAULETTE",
        "middle_name": "YVONNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0018448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.