Individual provider Active NPI

Candice Ladon Paulson, MA

  • Massage Therapist
  • Silverdale, WA
National Provider Identifier
1891432787
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
00025014 Issued in WA
Practice address
9414 Ridgetop Blvd NW Ste 101
Silverdale, WA 98383-8526
Phone
(360) 308-0250
Fax
(360) 308-0195
NPI assigned
May 12, 2022
Last updated
May 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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 00025014 WA Primary

Addresses

Primary practice location

9414 Ridgetop Blvd NW Ste 101
Silverdale, WA 98383-8526

Mailing address

9414 Ridgetop Blvd NW Ste 101
Silverdale, WA 98383-8526
Phone (360) 308-0250

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00025014WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1891432787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 RIDGETOP BLVD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838526",
            "telephone_number": "360-308-0250",
            "fax_number": "360-308-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 RIDGETOP BLVD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838526",
            "telephone_number": "360-308-0250",
            "fax_number": "360-308-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "CANDICE",
        "middle_name": "LADON",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00025014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.