Active NPI
Diane Rene Huisingh, LMP
- Massage Therapist
- Shelton, WA
National Provider Identifier
1861555047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00014523
- Practice address
- 1635 Olympic Hwy N
Ste 100
Shelton, WA 98584 - Phone
- (360) 426-8060
- Fax
- (360) 427-5819
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00014523 | WA | Primary |
Addresses
Primary practice location
1635 Olympic Hwy N
Ste 100
Shelton, WA 98584
Mailing address
71 E Happy Home Dr
Belfair, WA 98528
Phone (360) 275-3845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182241 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- Diane Rene Harkins
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00014523 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelton Chiropractic and Wellness LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Shelton, WA
- NPI 1497438857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861555047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 E HAPPY HOME DR",
"city": "BELFAIR",
"state": "WA",
"postal_code": "98528",
"telephone_number": "360-275-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 OLYMPIC HWY N",
"address_2": "STE 100",
"city": "SHELTON",
"state": "WA",
"postal_code": "98584",
"telephone_number": "360-426-8060",
"fax_number": "360-427-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUISINGH",
"first_name": "DIANE",
"middle_name": "RENE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00014523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0182241",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "HARKINS",
"middle_name": "RENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.