Active NPI
Michelle Marie Dragoo, L.M.P.
- Massage Therapist
- Ridgefield, WA
National Provider Identifier
1770720609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAOOO1675
- Practice address
- 414 Pioneer St
Suite 102
Ridgefield, WA 98642-4512 - Phone
- (360) 887-2135
- Fax
- (360) 887-2984
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | MAOOO1675 | WA | Primary |
Addresses
Primary practice location
414 Pioneer St
Suite 102
Ridgefield, WA 98642-4512
Mailing address
PO Box 214
Ridgefield, WA 98642-0214
Phone (360) 887-2135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508115940 | Other | WA | NPI 2 |
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 |
|---|---|---|---|
| MAOOO1675 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Dragoo LMP | Massage Therapist | Past | Accepting new patients |
| Ridgefield Chiropractic Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Massage Therapist
- Ridgefield, WA
- NPI 1508115940
-
- Chiropractor
- Ridgefield, WA
- NPI 1821336751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1770720609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986420214",
"telephone_number": "360-887-2135",
"fax_number": "360-887-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 PIONEER ST",
"address_2": "SUITE 102",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986424512",
"telephone_number": "360-887-2135",
"fax_number": "360-887-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGOO",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MAOOO1675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 2",
"identifier": "1508115940",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.