Individual provider Active NPI

Natasha Kae Dillmon, LMP

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1548499239
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019640 Issued in WA
Practice address
9418 NE Vancouver Mall Dr Ste 105
Vancouver, WA 98662-6182
Phone
(360) 260-6903
Fax
(360) 260-4849
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00019640 WA Primary

Addresses

Primary practice location

9418 NE Vancouver Mall Dr Ste 105
Vancouver, WA 98662-6182

Mailing address

7801 NE 166TH Ave
Vancouver, WA 98682-1525
Phone (360) 909-0544

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
MA00019640WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Life Chiropractic Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1548499239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 NE 166TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986821525",
            "telephone_number": "360-909-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9418 NE VANCOUVER MALL DR STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626182",
            "telephone_number": "360-260-6903",
            "fax_number": "360-260-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMON",
        "first_name": "NATASHA",
        "middle_name": "KAE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.