Active NPI
Lori Dickey, L.M.T.
- Massage Therapist
- Winona, MO
National Provider Identifier
1295070951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2012026241
- Practice address
- 311 JF Norton Pkwy
Winona, MO 65588 - Phone
- (417) 855-0902
- NPI assigned
- Dec 6, 2012
- Last updated
- Dec 6, 2012
- 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 | 2012026241 | MO | Primary |
Addresses
Primary practice location
311 JF Norton Pkwy
Winona, MO 65588
Mailing address
PO Box 521
Winona, MO 65588-0521
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012026241 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1295070951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 521",
"city": "WINONA",
"state": "MO",
"postal_code": "655880521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 JF NORTON PKWY",
"city": "WINONA",
"state": "MO",
"postal_code": "65588",
"telephone_number": "417-855-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "LORI",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2012026241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.