Individual provider Active NPI

Tomara Decosta

  • Reflexologist
  • Durham, NC
National Provider Identifier
1851679328
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
Practice address
3417 S Alston Ave
Durham, NC 27713-1517
Phone
(919) 886-7178
NPI assigned
Aug 1, 2011
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X NU Primary

Addresses

Primary practice location

3417 S Alston Ave
Durham, NC 27713-1517

Mailing address

PO Box 15702
Durham, NC 27704-0702
Phone (919) 886-7178

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1851679328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15702",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040702",
            "telephone_number": "919-886-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131517",
            "telephone_number": "919-886-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTA",
        "first_name": "TOMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.