Lisa Dianne Crater

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00018274 Issued in WA

Practice address

24030 132ND Ave SE
Ste a
Kent, WA 98042-5109

Phone

(253) 630-1332

Fax

(253) 639-4809

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pure Escape Spa

  • Massage Therapist
  • Kent, WA
  • NPI 1558173872
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1316166325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 27TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027760",
            "telephone_number": "425-269-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24030 132ND AVE SE",
            "address_2": "STE A",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425109",
            "telephone_number": "253-630-1332",
            "fax_number": "253-639-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATER",
        "first_name": "LISA",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Keith Cowart, D.D.S.
• Dorothy Lenora Cox
• Cozy Home Care, LLC
• Jamila Carolyn Cramer
• Carole Lewis Crane
• Ann Rosemary Crawford, M.D.
• Maleena Cregg, OT
• Emily Crew, MA
• Amber Crookston
• Julie Cross, SLP

• Massage Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.