Active NPI
Ashley Roberts
- Massage Therapist
- Hayden, ID
National Provider Identifier
1508696675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-3360
- Practice address
- 181 W Commerce Dr
Hayden, ID 83835-9221 - Phone
- (208) 696-1330
- NPI assigned
- Aug 5, 2024
- Last updated
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 | MAS-3360 | ID | Primary |
Addresses
Primary practice location
181 W Commerce Dr
Hayden, ID 83835-9221
Mailing address
24327 E Maxwell Ave
Liberty Lake, WA 99019-8633
Phone (509) 904-7334
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 |
|---|---|---|---|
| MAS-3360 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Voodoo, LLC | Massage Therapist | Current | Accepting new patients |
Locations
181 W Commerce Dr
Hayden, ID 83835
Phone (208) 696-1330
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1508696675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24327 E MAXWELL AVE",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990198633",
"telephone_number": "509-904-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W COMMERCE DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359221",
"telephone_number": "208-696-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-3360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
- Deanna Marie Richmond, MA, LPC
- Rickheim, DDS, Ms, PLLC (Peach Orthodontics)
- Rickheim, DDS, Ms, PLLC (Timberline Oral Surgery & Dental Implants)
- Courtney Riddle, LCSW
- Terrance A Riske, MD
- Kaitlin Rodell, MPH
- Jace Devon Rogers, PHARMD
- Melinda Michelle Rojas-Toto
- Monique Rose, LMT
- Keeva Beth Rossow, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.