Individual provider Active NPI

Lenore R Spitznagel, LMT, CNMT

  • Massage Therapist
  • Saint Louis, MO
National Provider Identifier
1114281144
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2011012479 Issued in MO
Practice address
1 Campbell PLZ
1A Center
Saint Louis, MO 63139-1781
Phone
(314) 646-0808
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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 2011012479 MO Primary

Addresses

Primary practice location

1 Campbell PLZ
1A Center
Saint Louis, MO 63139-1781

Mailing address

1 Campbell PLZ
1A Center
Saint Louis, MO 63139-1781
Phone (314) 646-0808

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
2011012479MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1114281144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMPBELL PLZ",
            "address_2": "1A CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391781",
            "telephone_number": "314-646-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPBELL PLZ",
            "address_2": "1A CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391781",
            "telephone_number": "314-646-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZNAGEL",
        "first_name": "LENORE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LMT, CNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2011012479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.