Active NPI
Mary P Lund, LMP, CNMT
- Massage Therapist
- Everett, WA
National Provider Identifier
1255475778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00011785
- Practice address
- 4323A Rucker Ave
Everett, WA 98203-2213 - Phone
- (425) 355-3879
- NPI assigned
- Feb 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00011785 | WA | Primary |
Addresses
Primary practice location
4323A Rucker Ave
Everett, WA 98203-2213
Mailing address
205 E Casino Rd
B16, PMB 5
Everett, WA 98208-2603
Phone (425) 257-0594
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00011785 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldora Injury and Wellness PLLC | Past | Accepting new patients | |
| Keezer Chiropractic Center | 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.
-
- Family Nurse Practitioner
- Edmonds, WA
- NPI 1760008270
-
- Chiropractor
- Everett, WA
- NPI 1780736116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1255475778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E CASINO RD",
"address_2": "B16, PMB 5",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082603",
"telephone_number": "425-257-0594",
"fax_number": "425-339-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323A RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032213",
"telephone_number": "425-355-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "MARY",
"middle_name": "P",
"credential": "LMP, CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-17",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00011785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.