Active NPI
Tashowna Gibson
- Massage Therapist
- Auburn, WA
National Provider Identifier
1497157903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1402 Auburn Way N Apt 269
Auburn, WA 98002-3384 - Phone
- (253) 335-0701
- NPI assigned
- Sep 16, 2014
- 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 | WA | Primary |
Addresses
Primary practice location
1402 Auburn Way N Apt 269
Auburn, WA 98002-3384
Mailing address
1402 Auburn Way N Apt 269
Auburn, WA 98002-3384
Phone (253) 335-0701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60493739 | Other | WA | MA PIN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1497157903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 AUBURN WAY N APT 269",
"city": "AUBURN",
"state": "WA",
"postal_code": "980023384",
"telephone_number": "253-335-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 AUBURN WAY N APT 269",
"city": "AUBURN",
"state": "WA",
"postal_code": "980023384",
"telephone_number": "253-335-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "TASHOWNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA PIN",
"identifier": "MA60493739",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.