Individual provider Active NPI

Destinee Tartuffe, C.MT

  • Reflexologist
  • Santa Rosa, CA
National Provider Identifier
1780948760
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
Practice address
3905 Mayette Ave
Santa Rosa, CA 95405-7226
Phone
(707) 548-4882
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X Primary

Addresses

Primary practice location

3905 Mayette Ave
Santa Rosa, CA 95405-7226

Mailing address

111 Brown St
Santa Rosa, CA 95404-5006
Phone (707) 548-4882

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

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1780948760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROWN ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045006",
            "telephone_number": "707-548-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 MAYETTE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057226",
            "telephone_number": "707-548-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTUFFE",
        "first_name": "DESTINEE",
        "credential": "C.MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.