Rose Morningstar, LICENSED MASSAGE THE

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00011941 Issued in WA

Practice address

2151 W. Hayden Ave
Hayden, ID 83835

Phone

(208) 762-6772

Fax

(208) 762-6773

NPI assigned

Dec 4, 2006

Last updated

Nov 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rose Wiebe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Body Tech Massage & Wellness

  • Primary Care Clinic/Center
  • Hayden, ID
  • NPI 1073120317
  NPD (past) Authorized official
• Balanced Body Massage

  dba Bodytech Massage and Wellness

  • Massage Therapist
  • Hayden, ID
  • NPI 1821982950
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1619035623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W. HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-762-6772",
            "fax_number": "208-762-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W. HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-762-6772",
            "fax_number": "208-762-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "ROSE",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA000011941",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "WIEBE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mindful Health PLLC
• Monnier Counseling LLC
• Emily Monnier
• John Drew Monnier, LCSW
• Mary Monroe, RDN, LD, IBCLC
• Jeanette K Morris, LAC
• Lydia Morris, RD
• Robert Morrissette
• Jaykob Allen Morse
• Dane Mosher

• Massage Therapist in Hayden, ID
• Providers in Hayden, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.