Active NPI
Andrew Allen Herres Jr., LMP
- Massage Therapist
- Lewiston, ID
National Provider Identifier
1134428600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60110908
- Practice address
- 3316 1/2 4TH St
Suite 4a
Lewiston, ID 83501-4460 - Phone
- (509) 780-7822
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | MA60110908 | WA | Primary |
Addresses
Primary practice location
3316 1/2 4TH St
Suite 4a
Lewiston, ID 83501-4460
Mailing address
PO Box 1695
Lewiston, ID 83501-1409
Phone (509) 780-7822
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 |
|---|---|---|---|
| MA60110908 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1134428600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1695",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011409",
"telephone_number": "509-780-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 1/2 4TH ST",
"address_2": "SUITE 4A",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014460",
"telephone_number": "509-780-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRES",
"first_name": "ANDREW",
"middle_name": "ALLEN",
"name_suffix": "Jr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60110908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
- Hells Canyon Health and Wellness Pharmacy
- Hells Canyon Health and Wellness Pharmacy
- Lisa Renee Henderson, AGNP-C
- Esther Henter, AGNP-C
- Kara Jo Herndon, RD
- Elizabeth Lee Hess-Almubarak, LPC, LMHC
- Lynzee Brooke Hewett, WHNP-BC
- Roni Valentine Hewett, DPT
- Yvonne Hewett, PHARMD
- Andena Jewel Hibbard, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.