NPIMap

Individual provider Active NPI

Alisha Lorraine Mead, LMP

  • Massage Therapist
  • Tumwater, WA
National Provider Identifier
1164669131
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60036639 Issued in WA
Practice address
204 Pinehurst Dr SW
#103
Tumwater, WA 98501-4500
Phone
(360) 352-8112
Fax
(360) 352-8113
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 MA60036639 WA Primary

Addresses

Primary practice location

204 Pinehurst Dr SW
#103
Tumwater, WA 98501-4500

Mailing address

204 Pinehurst Dr SW
#103
Tumwater, WA 98501-4500
Phone (360) 352-8112

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
MA60036639WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Wilcox, DC Inc. PastSince Oct 1, 2015 Accepting new patients
Family Chiropractic Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1164669131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PINEHURST DR SW",
            "address_2": "#103",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014500",
            "telephone_number": "360-352-8112",
            "fax_number": "360-352-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PINEHURST DR SW",
            "address_2": "#103",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014500",
            "telephone_number": "360-352-8112",
            "fax_number": "360-352-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ALISHA",
        "middle_name": "LORRAINE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60036639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.