Active NPI
Rebecca Lynn Doughty, LMT
- Massage Therapist
- Lahaina, HI
National Provider Identifier
1104197854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 126275
- Practice address
- 181 Lahainaluna Rd Ste D
Lahaina, HI 96761-1585 - Phone
- (808) 661-7200
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 126275 | AK | Primary |
Addresses
Primary practice location
181 Lahainaluna Rd Ste D
Lahaina, HI 96761-1585
Mailing address
218 W 34TH Ave
Anchorage, AK 99503-3977
Phone (907) 868-7821
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 |
|---|---|---|---|
| 126275 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridians Spa LLC | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Massage Therapist
- Lahaina, HI
- NPI 1295980167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1104197854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 W 34TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033977",
"telephone_number": "907-868-7821",
"fax_number": "907-868-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 LAHAINALUNA RD STE D",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967611585",
"telephone_number": "808-661-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTY",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "126275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lahaina, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.