Lucas Littlefield

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24789 Issued in OR

Practice address

2927 NE Everett St
Portland, OR 97232-3248

Phone

(503) 232-6161

NPI assigned

Dec 10, 2019

Sex

Male

Sole proprietor

No

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.

• Everett & Flanders House Community Club

  • Massage Therapist
  • Portland, OR
  • NPI 1659904597
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2019.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1043857907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323248",
            "telephone_number": "503-232-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1832 NE Broadway St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321992",
            "country_code": "US",
            "telephone_number": "503-820-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEFIELD",
        "first_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Mae Little
• Steven J. Little, D.M.D., F.A.G.D.
• Yana K Little, MD
• Jeanita Marie Littleboy
• Kellie Littlefield, D.O.
• Misha Litvak
• Hana Katherine Litvin, MD
• Katy Litzner
• Cassie Liu
• Catherine Liu

• All providers in Portland, OR
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.