Individual provider Active NPI

Natalie Lorraine Lawson-Johnson, L.M.T., H.M.L.T.

  • Massage Therapist
  • Melbourne, FL
National Provider Identifier
1063645638
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 54824 Issued in FL
Practice address
1900 S Harbor City Blvd
Suite 117
Melbourne, FL 32901-4749
Phone
(321) 848-8103
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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 MA 54824 FL Primary

Addresses

Primary practice location

1900 S Harbor City Blvd
Suite 117
Melbourne, FL 32901-4749

Mailing address

1011 Troutman Blvd NE
Unit 206
Palm Bay, FL 32905-4727
Phone (321) 848-8103

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
MA 54824FLMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1063645638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TROUTMAN BLVD NE",
            "address_2": "UNIT 206",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054727",
            "telephone_number": "321-848-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HARBOR CITY BLVD",
            "address_2": "SUITE 117",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014749",
            "telephone_number": "321-848-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON-JOHNSON",
        "first_name": "NATALIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "L.M.T., H.M.L.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 54824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.