Individual provider Active NPI

Connie Danielle Lopez, LMP

  • Massage Therapist
  • Renton, WA
National Provider Identifier
1255665428
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60092681 Issued in WA
Practice address
365 Renton Center Way SW
Suite F
Renton, WA 98057-2324
Phone
(425) 226-7061
Fax
(425) 226-7063
NPI assigned
Sep 21, 2009
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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 MA 60092681 WA Primary

Addresses

Primary practice location

365 Renton Center Way SW
Suite F
Renton, WA 98057-2324

Mailing address

201 SW 5TH PL
M 201
Renton, WA 98057-5834
Phone (832) 613-3845

Other identifiers 1

IdentifierTypeStateIssuer
MA 60092681OtherWALMP

Other names 1

  • C. Danielle Lopez Other name

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
MA 60092681WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1255665428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SW 5TH PL",
            "address_2": "M 201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575834",
            "telephone_number": "832-613-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "SUITE F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061",
            "fax_number": "425-226-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CONNIE",
        "middle_name": "DANIELLE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60092681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MA 60092681",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "LOPEZ",
            "middle_name": "DANIELLE",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.