Norman L. Fuqua

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61511159 Issued in WA

Practice address

10207 19TH Ave SE
Everett, WA 98208-4257

Phone

(425) 337-3166

NPI assigned

Feb 20, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1801651575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 96TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083825",
            "telephone_number": "425-238-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084257",
            "telephone_number": "425-337-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "NORMAN",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61511159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Health Consulting, LLC
• Phillip Funderburk Jr., SUDP
• Jami Fung
• Michelle Funk, M.A.
• Sarah Diane Funston, MSW, MHP
• Julie E Furlan, MD
• Nancy Jean Furness, RN
• Valentine Elizabeth Furniss, ACA
• Omar Fye, CAAR.CG.61102746
• Linda S Gabourel, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.