Individual provider Active NPI

Sarah Rashelle Gagnebin, LMP

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1902249410
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019400 Issued in WA
Practice address
1124 S Pines Rd
Spokane Valley, WA 99206-5427
Phone
(509) 922-1909
Fax
(509) 922-6648
NPI assigned
Apr 15, 2013
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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 MA00019400 WA Primary

Addresses

Primary practice location

1124 S Pines Rd
Spokane Valley, WA 99206-5427

Mailing address

1124 S Pines Rd
Spokane Valley, WA 99206-5427
Phone (509) 922-1909

Other names 1

  • Sarah Rashelle Jones Former name

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
MA00019400WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asdrubal I Lopez, DC, PS Past Accepting new patients
Michael W. Fisk, D.C., P.S Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1902249410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 S PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065427",
            "telephone_number": "509-922-1909",
            "fax_number": "509-922-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065427",
            "telephone_number": "509-922-1909",
            "fax_number": "509-922-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNEBIN",
        "first_name": "SARAH",
        "middle_name": "RASHELLE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JONES",
            "middle_name": "RASHELLE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.