Individual provider Active NPI

Nicholle Louise Jiggetts

  • Massage Therapist
  • Spanaway, WA
National Provider Identifier
1851942809
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60938611 Issued in WA
Practice address
19911 14TH Ave E
Spanaway, WA 98387-8111
Phone
(253) 208-4733
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60938611 WA Primary

Addresses

Primary practice location

19911 14TH Ave E
Spanaway, WA 98387-8111

Mailing address

19911 14TH Ave E
Spanaway, WA 98387-8111
Phone (253) 208-4733

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.soapvault.com/clinicPatientProfiles/ Direct

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

State licenses

LicenseStateTypeSpecialty
MA60938611WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1851942809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19911 14TH AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878111",
            "telephone_number": "253-208-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19911 14TH AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878111",
            "telephone_number": "253-208-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIGGETTS",
        "first_name": "NICHOLLE",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60938611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.soapvault.com/clinicPatientProfiles/",
            "affiliation": "N",
            "endpointDescription": "soap vault",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "direct Email",
            "address_1": "19911 14th Ave E",
            "city": "Spanaway",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983878111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.