Individual provider Active NPI

Tania Yegge, L.M.T.

  • Massage Therapist
  • Boise, ID
National Provider Identifier
1770948309
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-2721 Issued in ID
Practice address
3050 N Lakeharbor LN # 164
Boise, ID 83703-6906
Phone
(208) 972-1910
NPI assigned
Dec 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT121623 TX
Massage Therapist 225700000X MAS-2721 ID Primary

Addresses

Primary practice location

3050 N Lakeharbor LN # 164
Boise, ID 83703-6906

Mailing address

4224 S Federal Way
Apt. V-106
Boise, ID 83716-5577
Phone (208) 972-1910

Other practice location 1

4224 S Federal Way
Apt. V-106
Boise, ID 83716-5577
Phone (208) 972-1910

Other names 1

  • Tania Rice Former 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
MAS-2721IDMDMassage Therapist
MT121623TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Flex Therapeutics, LLC Massage Therapist PastSince Jul 24, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770948309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 S FEDERAL WAY",
            "address_2": "APT. V-106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837165577",
            "telephone_number": "208-972-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N LAKEHARBOR LN # 164",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036906",
            "telephone_number": "208-972-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4224 S Federal Way",
            "address_2": "Apt. V-106",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837165577",
            "country_code": "US",
            "telephone_number": "208-972-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEGGE",
        "first_name": "TANIA",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT121623",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "RICE",
            "credential": "L.M.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.