Active NPI
Leah Lyn Fitzgerald
- Nurse Massage Therapist (NMT)
- Alexandria, LA
National Provider Identifier
1093371973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- RN056512
- Practice address
- 3654 Government St Ste 5
Alexandria, LA 71302-3324 - Phone
- (318) 613-5190
- NPI assigned
- May 15, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA8117 | LA | |
| Nurse Massage Therapist (NMT) | 163WM1400X | RN056512 | LA | Primary |
Addresses
Primary practice location
3654 Government St Ste 5
Alexandria, LA 71302-3324
Mailing address
3654 Government St Ste 5
Alexandria, LA 71302-3324
Phone (318) 613-5190
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 |
|---|---|---|---|
| RN056512 | LA | MD | Nurse Massage Therapist (NMT) |
| LA8117 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1093371973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3654 GOVERNMENT ST STE 5",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713023324",
"telephone_number": "318-613-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3654 GOVERNMENT ST STE 5",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713023324",
"telephone_number": "318-613-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "LEAH",
"middle_name": "LYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA8117",
"primary": false
},
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "LA",
"license": "RN056512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.