Active NPI
Jessica Danielle Baldoz, MA60940379
- Massage Therapist
- Toppenish, WA
National Provider Identifier
1699331124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60940379
- Practice address
- 604 W 4TH Ave
Toppenish, WA 98948-1673 - Phone
- (509) 865-5636
- Fax
- (509) 865-2053
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | MA60940379 | WA | Primary |
Addresses
Primary practice location
604 W 4TH Ave
Toppenish, WA 98948-1673
Mailing address
604 W 4TH Ave
Toppenish, WA 98948-1673
Phone (509) 865-5636
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 |
|---|---|---|---|
| MA60940379 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toppenish Chiropractic Clinic, PS | 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": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1699331124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 W 4TH AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481673",
"telephone_number": "509-865-5636",
"fax_number": "509-865-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 W 4TH AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481673",
"telephone_number": "509-865-5636",
"fax_number": "509-865-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDOZ",
"first_name": "JESSICA",
"middle_name": "DANIELLE",
"credential": "MA60940379",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60940379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.