NPIMap

Individual provider Active NPI

Holly N Flynn, L.M.T.

  • Massage Therapist
  • Bel Air, MD
National Provider Identifier
1003233594
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M04724 Issued in MD
Practice address
2105 Laurel Bush Rd
Suite 103
Bel Air, MD 21015-6185
Phone
(443) 512-0025
Fax
(443) 512-8844
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 M04724 MD Primary

Addresses

Primary practice location

2105 Laurel Bush Rd
Suite 103
Bel Air, MD 21015-6185

Mailing address

2105 Laurel Bush Rd
Suite 103
Bel Air, MD 21015-6185
Phone (443) 512-0025

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
M04724MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn R Lee DC LLC PastSince Sep 1, 2005 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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1003233594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 LAUREL BUSH RD",
            "address_2": "SUITE 103",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156185",
            "telephone_number": "443-512-0025",
            "fax_number": "443-512-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 LAUREL BUSH RD",
            "address_2": "SUITE 103",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156185",
            "telephone_number": "443-512-0025",
            "fax_number": "443-512-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "HOLLY",
        "middle_name": "N",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.