Individual provider Active NPI

Tatiana Bidgood, LMBT

  • Massage Therapist
  • Durham, NC
National Provider Identifier
1710617956
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17537 Issued in NC
Practice address
7011 Fayetteville Rd Ste 106
Durham, NC 27713-7745
Phone
(919) 995-5495
NPI assigned
Jun 11, 2022
Last updated
Jun 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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 17537 NC Primary

Addresses

Primary practice location

7011 Fayetteville Rd Ste 106
Durham, NC 27713-7745

Mailing address

204 Chesley LN
Chapel Hill, NC 27514-1461
Phone (919) 995-5495

Other practice location 1

204 Chesley Ln
Chapel Hill, NC 27514-1461
Phone (919) 995-5495

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
17537NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1710617956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHESLEY LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141461",
            "telephone_number": "919-995-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137745",
            "telephone_number": "919-995-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Chesley Ln",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141461",
            "country_code": "US",
            "telephone_number": "919-995-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDGOOD",
        "first_name": "TATIANA",
        "credential": "LMBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "17537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

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

Verify at the official NPI Registry.