Lauren May Wicken Kuntz, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021520 Issued in WA

Practice address

410 North Bend Way
North Bend, WA 98045

Phone

(425) 888-5060

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren May Wicken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Bend Therapeutic Massage

  • Specialist
  • North Bend, WA
  • NPI 1316065899
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124151824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E NORTH BEND WAY UNIT 22",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NORTH BEND WAY",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "98045",
            "telephone_number": "425-888-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKEN KUNTZ",
        "first_name": "LAUREN",
        "middle_name": "MAY",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WICKEN",
            "middle_name": "MAY",
            "credential": "L.M.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Watson
• Kari Ann Weed, MS, CCC-SLP
• Vanessa L. Weiland, RN, APRN
• Erin Westaway, N.D.
• Sloan Mariah Westerman, LMFTA
• Andrea Lanelle Williams, L.M.P
• Pamela Kay Williamson, MSW ACSW LICSW
• Valerie Wilson, L.AC., E.A.M.P.
• Cathi Ann Woolley, R.N.
• Stacy Worley, LMHCA

• Massage Therapist in North Bend, WA
• Providers in North Bend, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.