Quincy Vidauri, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60076727 Issued in WA

Practice address

120 SW 160TH St
Burien, WA 98166-3025

Phone

(206) 242-8211

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Seahurst Chiropractic Clinic Inc.

  • Chiropractor
  • Burien, WA
  • NPI 1316146319
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1780812917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MAIN AVE N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458237",
            "telephone_number": "425-802-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SW 160TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663025",
            "telephone_number": "206-242-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAURI",
        "first_name": "QUINCY",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "WA",
            "license": "MA60076727",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60076727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Estrada Velazquez, LMP
• Danielle Venhuizen
• Eliseo Silvano Veras-Tobos Jr., DPT
• Jennifer Anne Vert, M.A.
• Shawna Marie Vert, RN
• Natalie Villarreal, LPN
• Vincent N Muoneke MD PS
• Vincent N Muoneke MD PS
• Lavanya Viswanathan, MD
• Vital Natural Health PLLC

• Massage Therapist in Burien, WA
• Providers in Burien, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.