Individual provider Active NPI

Lacy Colleen McFalls, LMP

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1235445974
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00012765 Issued in WA
Practice address
1109 Frontier Cir E Ste B
Lake Stevens, WA 98258-3442
Phone
(425) 609-8075
Fax
(425) 947-5928
NPI assigned
Aug 19, 2010
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 MA00012765 WA Primary

Addresses

Primary practice location

1109 Frontier Cir E Ste B
Lake Stevens, WA 98258-3442

Mailing address

1300 W Sam Houston Pkwy S Ste 300
Houston, TX 77042-2453
Phone (713) 344-1477

Other practice location 1

1636 3rd St Unit B
Marysville, WA 98270-5004
Phone (360) 651-8045

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
MA00012765WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1235445974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422453",
            "telephone_number": "713-344-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 FRONTIER CIR E STE B",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583442",
            "telephone_number": "425-609-8075",
            "fax_number": "425-947-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 3rd St Unit B",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982705004",
            "country_code": "US",
            "telephone_number": "360-651-8045",
            "fax_number": "360-658-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFALLS",
        "first_name": "LACY",
        "middle_name": "COLLEEN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00012765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.