NPIMap

Organization Active NPI

Inner Peace Healing & Massage

  • Massage Therapist
  • Longview, WA
National Provider Identifier
1063848307
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60197248 Issued in WA
Legal business name
INNER PEACE HEALING & MASSAGE
Practice address
1113 Vandercook Way
Longview, WA 98632-4024
Phone
(360) 430-7483
NPI assigned
Sep 18, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Mrs. Kimberley Joy Lemmons, LMPNPI 1467755116
Title
Owner
Phone
(360) 430-7483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60197248 WA Primary

Addresses

Primary practice location

1113 Vandercook Way
Longview, WA 98632-4024

Mailing address

1113 Vandercook Way
Longview, WA 98632-4024
Phone (360) 430-7483

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1063848307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 VANDERCOOK WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324024",
            "telephone_number": "360-430-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 VANDERCOOK WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324024",
            "telephone_number": "360-430-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE HEALING & MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "LEMMONS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-430-7483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60197248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.