Individual provider Active NPI

Danelle Berardinelli

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1740685866
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00023654 Issued in WA
Practice address
8800 St Helens Ave
None
Vancouver, WA 98664-2646
Phone
(360) 909-7882
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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 MA00023654 WA Primary

Addresses

Primary practice location

8800 St Helens Ave
None
Vancouver, WA 98664-2646

Mailing address

8800 St Helens Ave
None
Vancouver, WA 98664-2646
Phone (360) 909-7882

Other names 1

  • Mrs. Danelle Berardinelli Professional name

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
MA00023654WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1740685866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 ST HELENS AVE",
            "address_2": "NONE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642646",
            "telephone_number": "360-909-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 ST HELENS AVE",
            "address_2": "NONE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642646",
            "telephone_number": "360-909-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDINELLI",
        "first_name": "DANELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANELLE",
            "last_name": "BERARDINELLI",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.