AMBER CARVAJAL (NPI# 1134726920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134726920 |
| Entity Type | Individual |
| Full Name | AMBER CARVAJAL |
| Credential | MASSAGE THERAPIST |
| Practice Address |
5100 W Golden Ave Rathdrum ID 83858-6905 |
| Practice Telephone | 2088186606 |
| Mailing Telephone | 2088186606 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAS4210 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5100 W GOLDEN AVE |
| City | RATHDRUM |
| State | ID |
| Zip Code | 83858-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183578 | Kerri Ruddell | Nurse Practitioner | 16760 Id-41, Rathdrum, ID 83858 | 2019-06-18 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1831437839 | Patricia M Salois | Speech-Language Pathologist | 1564 Washington Street, Rathdrum, ID 83858 | 2013-01-25 |
| 1063554673 | Lakeland Joint School Disrict #272 | Local Education Agency (LEA) | 1564 Washington Ave, Rathdrum, ID 83858 | 2007-02-12 |
| 1275695140 | James M Mcnamara | Dentist | 13997 W Hwy 53, Rathdrum, ID 83858 | 2006-12-15 |
| 1568573962 | Chad Stephen Devore | Dentist | 14596 Hwy 41, Suite A, Rathdrum, ID 83858 | 2006-08-31 |
| 1811982994 | Frances L. White | Contractor | 14528 N Wight St, Rathdrum, ID 83858 | 2005-09-15 |
| 1578061883 | Ann N Moffett | Nurse Practitioner | 858 Commerce Dr., Smelterville, ID 83858 | 2018-02-01 |
| 1063055069 | Karin Sue Duncan | Naturopath | 16726 N Meadowview Ln, Rathdrum, ID 83858-0017 | 2019-10-22 |
| 1770768624 | Gabrielle Durbin | Private Vehicle | W 7164 Diagonal, Rathdrum, ID 83858-0283 | 2008-01-09 |
| Find all providers in zip 83858 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668198 | Jolene Ross | Massage Therapist | 18355 N Ramsey Rd, Rathdrum, ID 83858-7509 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069468 | Joanna Patricia Downer | Massage Therapist | 2596 N Stokesberry Pl Ste 130, Meridian, ID 83646-6087 | 2020-09-24 |
| 1194330720 | Unwind Spa Incorporated | Massage Therapist | 203 E Lake St, Mccall, ID 83638-3838 | 2020-09-10 |
| 1912517525 | Heidi Burk | Massage Therapist | 206 E Indiana Ave Ste 116, Coeur D Alene, ID 83814-2969 | 2020-08-07 |
| 1285243865 | Kebbie Wheeler | Massage Therapist | 625 W Pacific St Ste 5, Blackfoot, ID 83221-2034 | 2020-07-29 |
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1902429020 | Joline Elizabeth Genay-wolf | Massage Therapist | 219 Cedar St Ste B, Sandpoint, ID 83864-1460 | 2020-05-22 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1790306751 | Nova Orion Layton | Massage Therapist | 1315 Highway 2, Sandpoint, ID 83864-2724 | 2020-04-30 |
| 1104447457 | Victoria Scheidel | Massage Therapist | 1315 Highway 2 Ste 5, Sandpoint, ID 83864-2724 | 2020-04-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.