Active NPI
Lorena Ann Young, LMT
- Massage Therapist
- Lacey, WA
National Provider Identifier
1346385531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00011955
- Practice address
- 6353 Aldea CT SE
Lacey, WA 98503-7925 - Phone
- (360) 485-3377
- Fax
- (360) 943-1918
- NPI assigned
- Feb 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Massage Therapist | 225700000X | MA00011955 | WA | Primary |
Addresses
Primary practice location
6353 Aldea CT SE
Lacey, WA 98503-7925
Mailing address
6353 Aldea CT SE
Lacey, WA 98503-7925
Phone (360) 485-3377
Other practice location 1
2401 Bristol Ct SW
Suite C-104
Olympia, WA 98502-6003
Phone (360) 485-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00011955 | Other | WA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | evryoungjr@comcast.net |
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 |
|---|---|---|---|
| MA00011955 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1346385531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6353 ALDEA CT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985037925",
"telephone_number": "360-485-3377",
"fax_number": "360-438-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6353 ALDEA CT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985037925",
"telephone_number": "360-485-3377",
"fax_number": "360-943-1918"
}
],
"practiceLocations": [
{
"address_1": "2401 Bristol Ct SW",
"address_2": "Suite C-104",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985026003",
"country_code": "US",
"telephone_number": "360-485-3377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "LORENA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00011955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MA00011955",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "evryoungjr@comcast.net",
"affiliation": "N",
"address_1": "6353 Aldea Ct SE",
"city": "Lacey",
"state": "WA",
"country_code": "US",
"postal_code": "985037925",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.