Individual provider Active NPI

Lindsay Ann Bush, L.M.T

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1053646935
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
WA00018452 Issued in WA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MA00018452WAMDSpecialist
WA00018452WAMDMassage 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.

Verify at the official NPI Registry.