Individual provider Active NPI

Brianne Dusharme, MASSAGE THERAPIST

  • Mechanotherapist
  • Tacoma, WA
National Provider Identifier
1538605423
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA60675603 Issued in WA
Practice address
5849 Tacoma Mall Blvd
Tacoma, WA 98409-6905
Phone
(253) 475-6779
NPI assigned
Jan 16, 2017
Last updated
Jan 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60675603 WA Primary

Addresses

Primary practice location

5849 Tacoma Mall Blvd
Tacoma, WA 98409-6905

Mailing address

5849 Tacoma Mall Blvd
Tacoma, WA 98409-6905
Phone (253) 475-6779

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
MA60675603WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1538605423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 TACOMA MALL BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096905",
            "telephone_number": "253-475-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 TACOMA MALL BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096905",
            "telephone_number": "253-475-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSHARME",
        "first_name": "BRIANNE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60675603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.