Individual provider Active NPI

Carol Ann Speaker

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1982935474
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
00022175 Issued in WA
Practice address
325 S Sullivan
Spokane Valley, WA 99037
Phone
(509) 928-9098
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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 00022175 WA Primary

Addresses

Primary practice location

325 S Sullivan
Spokane Valley, WA 99037

Mailing address

325 S Sullivan
Spokane Valley, WA 99037
Phone (509) 928-9098

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
00022175WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Papa Tonys Enterprise Massage Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1982935474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S SULLIVAN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99037",
            "telephone_number": "509-928-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S SULLIVAN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99037",
            "telephone_number": "509-928-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKER",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00022175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 22, 2010; 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.