Active NPI
Daniela Beamon, LMP
- Massage Therapist
- Olympia, WA
National Provider Identifier
1578838017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60271033
- Practice address
- 111 Market St NE
Suite 108
Olympia, WA 98501-1008 - Phone
- (360) 754-7085
- Fax
- (360) 754-3671
- NPI assigned
- Mar 16, 2012
- 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 | MA60271033 | WA | Primary |
Addresses
Primary practice location
111 Market St NE
Suite 108
Olympia, WA 98501-1008
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 357-9380
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 |
|---|---|---|---|
| MA60271033 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339891200000",
"number": "1578838017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARKET ST NE",
"address_2": "SUITE 108",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011008",
"telephone_number": "360-754-7085",
"fax_number": "360-754-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMON",
"first_name": "DANIELA",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2012-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60271033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.