Active NPI
Nicole Marie Biddlecome, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1720359706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18572
- Practice address
- 960 Liberty St SE Ste 170
Salem, OR 97302-4149 - Phone
- (503) 588-6633
- NPI assigned
- Jan 23, 2012
- 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 | 18572 | OR | Primary |
Addresses
Primary practice location
960 Liberty St SE Ste 170
Salem, OR 97302-4149
Mailing address
1402 Falcon Loop
Independence, OR 97351-1538
Phone (503) 888-5246
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 |
|---|---|---|---|
| 18572 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Clinic of Natural Therapies LLC | 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.
-
- Chiropractor
- Salem, OR
- NPI 1013292499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1720359706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 FALCON LOOP",
"city": "INDEPENDENCE",
"state": "OR",
"postal_code": "973511538",
"telephone_number": "503-888-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 LIBERTY ST SE STE 170",
"city": "SALEM",
"state": "OR",
"postal_code": "973024149",
"telephone_number": "503-588-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDDLECOME",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.