Adelle A Carr, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61046403 Issued in WA

Practice address

706 Market St
Tacoma, WA 98402-3712

Phone

(253) 473-7830

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Serenity Spa, Inc.

  dba Serenity Spa & Natural Health Clinic

  • Multi-Specialty Clinic/Center
  • Tacoma, WA
  • NPI 1134384555

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1710592563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MARKET ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023712",
            "telephone_number": "253-473-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MARKET ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023712",
            "telephone_number": "253-473-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3518 6th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984065419",
            "country_code": "US",
            "telephone_number": "253-238-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "ADELLE",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61046403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carpe Diem Academy Corporation
• Carpe Diem Tacoma Corporation
• Erin Kathleen Carpenter, LSWAIC
• Tyler Mykel Carpenter
• Katie Alison Carper, PA-C
• David Ellis Carr II
• Abbie Alane Carrasco, REGISTERED NURSE
• Jessica Carratelli, LMHCA
• Amanda Carrell
• Myra Drew Carreon, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.