Active NPI
Lindsay Ann Bush, L.M.T
- Massage Therapist
- Tacoma, WA
National Provider Identifier
1053646935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- WA00018452
- Practice address
- 3701 6TH Ave Ste 2
Tacoma, WA 98406-4950 - Phone
- (253) 209-7855
- Fax
- (253) 320-2115
- NPI assigned
- Oct 9, 2009
- Last updated
- Sep 1, 2020
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00018452 | WA | |
| Massage Therapist | 225700000X | WA00018452 | WA | Primary |
Addresses
Primary practice location
3701 6TH Ave Ste 2
Tacoma, WA 98406-4950
Mailing address
3701 6TH Ave Ste 2
Tacoma, WA 98406-4950
Phone (253) 209-7855
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 |
|---|---|---|---|
| MA00018452 | WA | MD | Specialist |
| WA00018452 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1053646935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 6TH AVE STE 2",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064950",
"telephone_number": "253-209-7855",
"fax_number": "253-320-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 6TH AVE STE 2",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064950",
"telephone_number": "253-209-7855",
"fax_number": "253-320-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "LINDSAY",
"middle_name": "ANN",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00018452",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "WA00018452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.