Active NPI
Diego Moreno-Nunez, MA
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1700538972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61225823
- Practice address
- 110 110TH Ave NE Ste 110
Bellevue, WA 98004-5840 - Phone
- (425) 628-2072
- Fax
- (425) 341-9056
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- 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 | MA61225823 | WA | Primary |
Addresses
Primary practice location
110 110TH Ave NE Ste 110
Bellevue, WA 98004-5840
Mailing address
6807 136TH Ave SE
Newcastle, WA 98059-3177
Phone (425) 749-6071
Other practice location 1
13425 SE 30th St Ste 2C
Bellevue, WA 98005-4450
Phone (425) 800-4488
Other practice location 2
1109 Frontier Cir E Ste B
Lake Stevens, WA 98258-3442
Phone (425) 609-8075
Other practice location 3
10600 NE 68th St Ste C
Kirkland, WA 98033-7044
Phone (425) 823-1389
Other practice location 4
2000 Hewitt Ave Ste 115
Everett, WA 98201-3600
Phone (425) 252-3908
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61225823 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1700538972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6807 136TH AVE SE",
"city": "NEWCASTLE",
"state": "WA",
"postal_code": "980593177",
"telephone_number": "425-749-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 110TH AVE NE STE 110",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045840",
"telephone_number": "425-628-2072",
"fax_number": "425-341-9056"
}
],
"practiceLocations": [
{
"address_1": "13425 SE 30th St Ste 2C",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980054450",
"country_code": "US",
"telephone_number": "425-800-4488",
"fax_number": "425-201-2380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1109 Frontier Cir E Ste B",
"address_purpose": "LOCATION",
"city": "Lake Stevens",
"state": "WA",
"postal_code": "982583442",
"country_code": "US",
"telephone_number": "425-609-8075",
"fax_number": "425-947-5928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10600 NE 68th St Ste C",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980337044",
"country_code": "US",
"telephone_number": "425-823-1389",
"fax_number": "425-820-3996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Hewitt Ave Ste 115",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013600",
"country_code": "US",
"telephone_number": "425-252-3908",
"fax_number": "425-252-7940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO-NUNEZ",
"first_name": "DIEGO",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61225823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.