Active NPI
Staci Leanne Truby
- Massage Therapist
- Lewiston, ID
National Provider Identifier
1912290388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 08-002760
- Practice address
- 717 'D' Street
Lewiston, ID 83501 - Phone
- (208) 743-1424
- Fax
- (208) 743-2803
- NPI assigned
- May 18, 2011
- 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 | 08-002760 | ID | Primary |
Addresses
Primary practice location
717 'D' Street
Lewiston, ID 83501
Mailing address
416 3Rd Street
Lewiston, ID 83501
Phone (208) 790-2538
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 |
|---|---|---|---|
| 08-002760 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Thomas R. Boyer, PC | 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
- Lewiston, ID
- NPI 1568806156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1912290388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 3RD STREET",
"city": "LEWISTON",
"state": "ID",
"postal_code": "83501",
"telephone_number": "208-790-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 'D' STREET",
"city": "LEWISTON",
"state": "ID",
"postal_code": "83501",
"telephone_number": "208-743-1424",
"fax_number": "208-743-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUBY",
"first_name": "STACI",
"middle_name": "LEANNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "08-002760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.