Individual provider Active NPI

Stephanie Dalton Rubido, L.M.P.

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1689995458
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
602779131 Issued in WA
Practice address
1504 Iowa St
Bellingham, WA 98229-4709
Phone
(360) 201-6276
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 602779131 WA Primary

Addresses

Primary practice location

1504 Iowa St
Bellingham, WA 98229-4709

Mailing address

1504 Iowa St
Bellingham, WA 98229-4709
Phone (360) 201-6276

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
602779131WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chappaz Massage Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1689995458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 IOWA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294709",
            "telephone_number": "360-201-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 IOWA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294709",
            "telephone_number": "360-201-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIDO",
        "first_name": "STEPHANIE",
        "middle_name": "DALTON",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "602779131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.