Active NPI
Darci M Duspiva, LMP
- Massage Therapist
- Clinton, WA
National Provider Identifier
1861624561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 602 889 889
- Practice address
- 11042 Sr 525 # Suiet106
Clinton, WA 98236-8618 - Phone
- (360) 341-1299
- NPI assigned
- Aug 13, 2009
- Last updated
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 602 889 889 | WA | Primary |
Addresses
Primary practice location
11042 Sr 525 # Suiet106
Clinton, WA 98236-8618
Mailing address
5834 S Bayview Rd
Clinton, WA 98236
Phone (360) 969-1051
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 |
|---|---|---|---|
| 602 889 889 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1861624561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5834 S BAYVIEW RD",
"city": "CLINTON",
"state": "WA",
"postal_code": "98236",
"telephone_number": "360-969-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11042 SR 525 # SUIET106",
"city": "CLINTON",
"state": "WA",
"postal_code": "982368618",
"telephone_number": "360-341-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSPIVA",
"first_name": "DARCI",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "602 889 889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.