Jerica Lennartz Mortimer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61018816 Issued in WA

Practice address

3003 W Viola Ave
Yakima, WA 98902-4939

Phone

(509) 961-8314

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Dragonfly Medical Massage Studio LLC

  • Massage Therapist
  • Yakima, WA
  • NPI 1518573179
  NPD Authorized official

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1245875608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W VIOLA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W VIOLA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024939",
            "telephone_number": "509-961-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "JERICA",
        "middle_name": "LENNARTZ",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61018816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Morris, NP-C
• Douglass A Morrison, MD
• Melina Christine Morrison, LMP
• David Samuel Morse, B.S. ELEMENTARY EDUC
• Rick B. Morse, D.C.
• Brady K Moss, ARNP
• Mother'S Arms Homecare LLC
• Thomas J Mount, LMHC
• Mountain View Medical Group, PLLC
• Christopher Mountainbird

• Massage Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.