Lacretia Renee Barnes, LPN,LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT01441600 Issued in NJ

Practice address

520 Stokes Rd Ste C2
Medford, NJ 08055-2904

Phone

(640) 600-4185

NPI assigned

Jan 15, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1194536557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES RD STE C2",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "640-600-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD STE C2",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "640-600-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LACRETIA",
        "middle_name": "RENEE",
        "credential": "LPN,LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01441600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Lisa A. Banks, PHARMD
• Eric W. Bantz, M.D.
• Todd M. Barge, MPT
• John Barnett
• Jeanne Marie Bauer, M.A., L.P.C.
• Nicole Diane Baylies, LPC LCADC
• Be Yourself ABA
• Mary A Beck, LCSW

• Massage Therapist in Medford, NJ
• Providers in Medford, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.