Individual provider Active NPI

Lynna Dunn Fuller, LMP, PHD

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1295990984
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60023935 Issued in WA
Practice address
1756 Iowa St
Bellingham, WA 98229-4702
Phone
(360) 734-9555
NPI assigned
Jul 23, 2008
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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 MA60023935 WA Primary

Addresses

Primary practice location

1756 Iowa St
Bellingham, WA 98229-4702

Mailing address

2304 H St
Bellingham, WA 98225-3318
Phone (425) 328-8823

Other names 1

  • Dr. Lynna Louise Dunn Former 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA60023935WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momenta Health PLLC PastSince Jul 26, 2023 Accepting new patients
Adich Clinic, P.S. Massage Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1295990984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 H ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253318",
            "telephone_number": "425-328-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 IOWA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294702",
            "telephone_number": "360-734-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "LYNNA",
        "middle_name": "DUNN",
        "name_prefix": "Dr.",
        "credential": "LMP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60023935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNA",
            "last_name": "DUNN",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.