Active NPI
Rosanna Lincecum, LMP
- Massage Therapist
- Spokane Valley, WA
National Provider Identifier
1033512934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60269955
- Practice address
- 2510 N Pines Rd Ste 207
Spokane Valley, WA 99206-7636 - Phone
- (907) 232-6305
- NPI assigned
- Oct 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS-998 | ID | |
| Massage Therapist | 225700000X | MA60269955 | WA | Primary |
Addresses
Primary practice location
2510 N Pines Rd Ste 207
Spokane Valley, WA 99206-7636
Mailing address
1111 E Homestead Ave
Coeur D Alene, ID 83814-4817
Phone (907) 232-6305
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 |
|---|---|---|---|
| MAS-998 | ID | MD | Massage Therapist |
| MA60269955 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1033512934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E HOMESTEAD AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144817",
"telephone_number": "907-232-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 N PINES RD STE 207",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992067636",
"telephone_number": "907-232-6305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCECUM",
"first_name": "ROSANNA",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-998",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60269955",
"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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.