DIANE ROYALL (NPI# 1124595483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124595483 |
| Entity Type | Individual |
| Full Name | DIANE ROYALL |
| Credential | LMT |
| Practice Address |
10111 Mlk Hwy Ste 101 Bowie MD 20720-4231 |
| Mailing Address |
3995 Warner Ave Apt B1 Hyattsville MD 20784-2054 |
| Practice Telephone | 2404748214 |
| Mailing Telephone | 2404748214 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M05480 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3112 27th Ave, Temple, MD 20748 | 2404748214 | |
| 1629 K St Nw Ste 300, Washington, DC 200061631 | 2404748214 |
| Street Address |
10111 MLK HWY STE 101 |
| City | BOWIE |
| State | MD |
| Zip Code | 20720-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
| 1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
| 1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
| 1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
| Find all providers in zip 20720 | ||||
| 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 |
|---|---|---|---|---|
| 1609480342 | Tomsene Johnetta Blake | Massage Therapist | 12115 Sutton Ln, Bowie, MD 20720-3562 | 2020-09-01 |
| 1871990580 | Rosalyn Graham | Massage Therapist | 16317 Eddinger Rd, Bowie, MD 20716-6327 | 2014-11-24 |
| 1942647474 | Tennina Perry | Massage Therapist | 6846 Race Track Rd, Suite #104, Bowie, MD 20715-3011 | 2013-05-23 |
| 1750998258 | Alanah Dixon | Massage Therapist | 12164 Central Ave, Ste 200 #6, Bowie, MD 20721 | 2020-09-28 |
| 1518468891 | Terri Williams | Massage Therapist | 2905 Mitchellville Rd, Bowie, MD 20716-1385 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467606 | Paul Clark Kimball | Massage Therapist | 3631 Martins Dairy Cir, Olney, MD 20832-2451 | 2020-11-04 |
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1609476209 | Edward Drew Welch | Massage Therapist | 1812 Baltimore Blvd Ste E, Westminster, MD 21157-7144 | 2020-11-01 |
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| 1457950305 | Aj Denzel Henry | Massage Therapist | 44 Polk St, Aberdeen, MD 21001-2589 | 2020-10-21 |
| 1316545916 | Chanin D Storm | Massage Therapist | 1719 Woodruff Way, Frederick, MD 21701-2514 | 2020-10-15 |
| 1164020756 | Brighid Rose Satori | Massage Therapist | 8018 Brightwood Ct, Ellicott City, MD 21043-7932 | 2020-10-15 |
| 1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
| 1235736877 | Janthima Sapadith | Massage Therapist | 834 Waterford Dr, Frederick, MD 21702-4088 | 2020-10-06 |
| 1205433372 | Shengchao Qiang | Massage Therapist | 751 Sligo Ave, Silver Spring, MD 20910-4729 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.