Sarah Babcock, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-3874 Issued in ID

Practice address

260 W Grand Ave RM 3
Arco, ID 83213-4906

Phone

(208) 313-8418

NPI assigned

Jul 31, 2019

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Nelson Former name

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1861046450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 N 3350 W",
            "city": "MOORE",
            "state": "ID",
            "postal_code": "832558760",
            "telephone_number": "208-554-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W GRAND AVE RM 3",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "832134906",
            "telephone_number": "208-313-8418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3136 N 3350 W",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "ID",
            "postal_code": "832558760",
            "country_code": "US",
            "telephone_number": "208-554-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "SARAH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-3874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Arco, ID
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• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.