Individual provider Active NPI

Chad D Duvall, LMP

  • Massage Therapist
  • Wenatchee, WA
National Provider Identifier
1629156013
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011127 Issued in WA
Practice address
23 S Wenatchee Ave Ste 125
Wenatchee, WA 98801-2285
Phone
(509) 699-5264
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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 MA00011127 WA Primary

Addresses

Primary practice location

23 S Wenatchee Ave Ste 125
Wenatchee, WA 98801-2285

Mailing address

212 39TH St NW
East Wenatchee, WA 98802-9519
Phone (425) 802-3378

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA00011127WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin R Duvall, PLLC Massage Therapist CurrentSince Sep 13, 2020 Accepting new patients

Locations

23 S Wenatchee Ave
Ste 125
Wenatchee, WA 98801
Phone (509) 699-5264

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1629156013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 39TH ST NW",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988029519",
            "telephone_number": "425-802-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S WENATCHEE AVE STE 125",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012285",
            "telephone_number": "509-699-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "CHAD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.