Individual provider Active NPI

Lauren Lynch-Novakovic, LMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1073298030
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
6120 Barnes Rd Ste 160
Colorado Springs, CO 80922-2605
Phone
(719) 344-9270
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT136682 TX
Massage Therapist 225700000X MT.0025782 CO
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

6120 Barnes Rd Ste 160
Colorado Springs, CO 80922-2605

Mailing address

4685 Anille Way Apt 452
Colorado Springs, CO 80917-4473
Phone (720) 968-9144

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
MT.0025782COMDMassage Therapist
MT136682TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Balance Family Wellness PLLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

6120 Barnes Rd
Ste 160
Colorado Springs, CO 80922
Phone (719) 344-9270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1073298030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 ANILLE WAY APT 452",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174473",
            "telephone_number": "720-968-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BARNES RD STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222605",
            "telephone_number": "719-344-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH-NOVAKOVIC",
        "first_name": "LAUREN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT136682",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0025782",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.