Lisa Marie Coddington

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501008667 Issued in MI

Practice address

1105 6TH St
Traverse City, MI 49684-2345

Phone

(231) 935-6698

Fax

(231) 935-7528

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1285396689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 W 6 RD",
            "city": "MESICK",
            "state": "MI",
            "postal_code": "496689338",
            "telephone_number": "231-429-0646",
            "fax_number": "231-935-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-6698",
            "fax_number": "231-935-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDINGTON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501008667",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QC2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Cytotechnology",
            "state": "MI",
            "license": "03826122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcoddington@mhc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6740 W 6 Rd",
            "city": "Mesick",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496689338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Coastal Dermatology PLC
• Mary Coates, RN
• John L Coatney, MD
• Janice Mary Cobb, MPT
• Gabrielle W Cochran, NP
• Matthew Robert Cody, M.D.
• Douglas S Coffin, PA-C
• Suzanne C Coffin, P.A.
• Carol Tamara Coffman, PHARM.D.
• Scott Coggon

• Massage Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.