Active NPI
Tracy Staley, CMT
- Massage Therapist
- Monterey, CA
National Provider Identifier
1649602913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22624
- Practice address
- 2600 Garden Rd
238
Monterey, CA 93940-5311 - Phone
- (831) 241-2778
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 22624 | CA | Primary |
Addresses
Primary practice location
2600 Garden Rd
238
Monterey, CA 93940-5311
Mailing address
930 Casanova Ave
50
Monterey, CA 93940-6877
Phone (831) 241-2778
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 |
|---|---|---|---|
| 22624 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1649602913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 CASANOVA AVE",
"address_2": "50",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939406877",
"telephone_number": "831-241-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GARDEN RD",
"address_2": "238",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405311",
"telephone_number": "831-241-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "TRACY",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "22624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.