Amber Nicole Demeola

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454

Phone

(425) 296-2526

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1679184808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12853 109TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346301",
            "telephone_number": "909-783-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 NW GILMAN BLVD STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272454",
            "telephone_number": "425-296-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEOLA",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "MindBody",
            "affiliation": "N",
            "address_1": "680 NW Gilman Blvd Ste A",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980272454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacy Danae Deffner, M.A., CCC-SLP
• Christian F Deisler
• Nima Dejbod, DMD
• Reinier Dejong Vancoevorden, M.D.
• Simone Dekker, MD, PHD
• Margene Dengler
• Heather A Denniston, DC
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Tiger Mountain Dentistry)
• Tammy Deroche, DPT
• McKenzie Desjarlais, M.S. CF-SLP

• Massage Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.