Individual provider Active NPI

Deborah Renee Duncan-Sargent, LMP

  • Massage Therapist
  • Shelton, WA
National Provider Identifier
1770723322
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019692 Issued in WA
Practice address
117 N 8TH St
Shelton, WA 98584-2564
Phone
(360) 427-3189
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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 MA00019692 WA Primary

Addresses

Primary practice location

117 N 8TH St
Shelton, WA 98584-2564

Mailing address

PO Box I
Shelton, WA 98584-0048
Phone (360) 426-7247

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
MA00019692WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Destination Massage & Spa Massage Therapist Past Accepting new patients
Balance Day Spa 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.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1770723322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX I",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985840048",
            "telephone_number": "360-426-7247",
            "fax_number": "360-426-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 8TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842564",
            "telephone_number": "360-427-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN-SARGENT",
        "first_name": "DEBORAH",
        "middle_name": "RENEE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.