Individual provider Active NPI

Lori Ann Kazinec, LMP

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1154571743
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015398 Issued in WA
Practice address
4122 Factoria Blvd SE
Cummins Chiropractic Suite 202
Bellevue, WA 98006-4200
Phone
(425) 590-9158
Fax
(425) 458-0100
NPI assigned
Sep 19, 2008
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 MA00015398 WA Primary

Addresses

Primary practice location

4122 Factoria Blvd SE
Cummins Chiropractic Suite 202
Bellevue, WA 98006-4200

Mailing address

4122 Factoria Blvd. SE
Cummins Chiropractic Suite 202
Bellevue, WA 98006-5259
Phone (425) 590-9158

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
MA00015398WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cummins Chiropractic and Wellness PLLC PastSince Dec 20, 2009 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1154571743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD. SE",
            "address_2": "CUMMINS CHIROPRACTIC SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065259",
            "telephone_number": "425-590-9158",
            "fax_number": "425-458-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE",
            "address_2": "CUMMINS CHIROPRACTIC SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064200",
            "telephone_number": "425-590-9158",
            "fax_number": "425-458-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZINEC",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.