Individual provider Active NPI

Latrice McAllister

  • Massage Therapist
  • North Beach, MD
National Provider Identifier
1306683388
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M06601 Issued in MD
Practice address
9120 Chesapeake Ave Ste 202
North Beach, MD 20714-5043
Phone
(240) 718-6055
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 M06601 MD Primary

Addresses

Primary practice location

9120 Chesapeake Ave Ste 202
North Beach, MD 20714-5043

Mailing address

8072 Silver Fox Way
Chesapeake Beach, MD 20732-4640
Phone (202) 867-3114

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
M06601MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Peace Massage, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

9120 Chesapeake Ave
Ste 202
North Beach, MD 20714
Phone (240) 718-6055

Organizations & group practices 1

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1306683388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8072 SILVER FOX WAY",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324640",
            "telephone_number": "202-867-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 CHESAPEAKE AVE STE 202",
            "city": "NORTH BEACH",
            "state": "MD",
            "postal_code": "207145043",
            "telephone_number": "240-718-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "LATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M06601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Beach, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.