Individual provider Active NPI

Danialle Lee Cooper, LMP

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1639490923
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60143917 Issued in WA
Practice address
721 S Lincoln St
A2
Spokane, WA 99204-2904
Phone
(509) 302-9988
NPI assigned
Jun 21, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 MA60143917 WA Primary

Addresses

Primary practice location

721 S Lincoln St
A2
Spokane, WA 99204-2904

Mailing address

721 S Lincoln St
A2
Spokane, WA 99204-2904
Phone (509) 302-9988

Other names 1

  • Danialle Lee Sanford Former name

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
MA60143917WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1639490923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S LINCOLN ST",
            "address_2": "A2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042904",
            "telephone_number": "509-302-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S LINCOLN ST",
            "address_2": "A2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042904",
            "telephone_number": "509-302-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DANIALLE",
        "middle_name": "LEE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60143917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIALLE",
            "last_name": "SANFORD",
            "middle_name": "LEE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.