Organization Active NPI

Michelle Dragoo LMP

  • Massage Therapist
  • Ridgefield, WA
National Provider Identifier
1508115940
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00014675 Issued in WA
Legal business name
MICHELLE DRAGOO LMP
Practice address
414 Pioneer St
Suite a
Ridgefield, WA 98642-4512
Phone
(360) 721-5195
Fax
(360) 887-2984
NPI assigned
Aug 30, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mrs. Michelle Dragoo, LMPNPI 1770720609
Title
Owner
Phone
(360) 721-5195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00014675 WA Primary

Addresses

Primary practice location

414 Pioneer St
Suite a
Ridgefield, WA 98642-4512

Mailing address

PO Box 214
Ridgefield, WA 98642-0214
Phone (360) 721-5195

Other identifiers 1

IdentifierTypeStateIssuer
0190344OtherWAWASHINGTON LABOR AND INDUSTRIES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1508115940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986420214",
            "telephone_number": "360-721-5195",
            "fax_number": "360-887-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PIONEER ST",
            "address_2": "SUITE A",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986424512",
            "telephone_number": "360-721-5195",
            "fax_number": "360-887-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE DRAGOO LMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "DRAGOO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-721-5195",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON LABOR AND INDUSTRIES",
            "identifier": "0190344",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.