Nicole Monique Cuevas

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60146944 Issued in WA

Practice address

7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156

Phone

(253) 509-0258

Fax

(253) 509-0297

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Monique Cox Former name

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.

• Blue Moon Massage Studio, LLC

  • Contractor
  • Gig Harbor, WA
  • NPI 1174952964
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1831442946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 PARKDALE DRIVE KP N",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295641",
            "telephone_number": "253-313-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 PIONEER WAY",
            "address_2": "SUITE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351156",
            "telephone_number": "253-509-0258",
            "fax_number": "253-509-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "NICOLE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60146944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "COX",
            "middle_name": "MONIQUE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah K Crockett, DC
• Claudia K Crowe, MA, OTR/L
• Cameron Crumpler, L.AC
• Eugene Reyes Cruz, LMP
• Amanda Sue Cuda, M.D.
• Heather Arline Cummings, LMHCA
• Susan Curtis, LCSW
• Amber N Dahnke, PAC
• Charles Robert Dale, O.D.
• Pierre Andre Dalumpines, M.D.

• All providers in Gig Harbor, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.