Individual provider Active NPI

Sarah Jean Stafford

  • Massage Therapist
  • Longmont, CO
National Provider Identifier
1871100651
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0023708 Issued in CO
Practice address
2315 Zlaten Dr Apt C105
Longmont, CO 80504-2010
Phone
(360) 870-3060
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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 MT.0023708 CO Primary

Addresses

Primary practice location

2315 Zlaten Dr Apt C105
Longmont, CO 80504-2010

Mailing address

2315 Zlaten Dr Apt C105
Longmont, CO 80504-2010
Phone (360) 870-3060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah@sweetrootmassage.com

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
MT.0023708COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1871100651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ZLATEN DR APT C105",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042010",
            "telephone_number": "360-870-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ZLATEN DR APT C105",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042010",
            "telephone_number": "360-870-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0023708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@sweetrootmassage.com",
            "affiliation": "N",
            "endpointDescription": "personal G Suite business email",
            "address_1": "2315 Zlaten Dr Apt C105",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805042010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.