Individual provider Active NPI

Latisha Alexandria Renee Washington

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1255120986
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20583 Issued in NC
Practice address
150 Francam Dr Ste 124
Fayetteville, NC 28311-4500
Phone
(910) 229-3924
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 20583 NC Primary

Addresses

Primary practice location

150 Francam Dr Ste 124
Fayetteville, NC 28311-4500

Mailing address

9581 Mountain Home Dr
Fayetteville, NC 28314-5762
Phone (910) 261-1376

Other practice location 1

6791 Overhills Rd
Spring Lake, NC 28390-8873
Phone (910) 704-2220

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
20583NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Coastal Plain - PT, LLC CurrentSince May 4, 2025 Accepting new patients
Hesed Bodywork LLC Single Specialty PastSince Aug 28, 2022 Accepting new patients

Locations

150 Francam Dr
Ste 124
Fayetteville, NC 28311
Phone (910) 229-3924

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1255120986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9581 MOUNTAIN HOME DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145762",
            "telephone_number": "910-261-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FRANCAM DR STE 124",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283114500",
            "telephone_number": "910-229-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6791 Overhills Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NC",
            "postal_code": "283908873",
            "country_code": "US",
            "telephone_number": "910-704-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LATISHA",
        "middle_name": "ALEXANDRIA RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "20583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.