Active NPI
Linsey Ladonna Kucherry
- Massage Therapist
- Ponderay, ID
National Provider Identifier
1346955259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 30410 Highway 200
Ponderay, ID 83852-9601 - Phone
- (208) 263-3211
- NPI assigned
- Jan 16, 2023
- 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 | Primary |
Addresses
Primary practice location
30410 Highway 200
Ponderay, ID 83852-9601
Mailing address
111 Gun Club Rd TRLR 10
Sagle, ID 83860-9785
Phone (406) 880-1163
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | bodysmithing@gmail.com | Health Information Exchange (HIE) | |
| SOAP URL | bodysmithing@gmail.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1346955259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GUN CLUB RD TRLR 10",
"city": "SAGLE",
"state": "ID",
"postal_code": "838609785",
"telephone_number": "406-880-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30410 HIGHWAY 200",
"city": "PONDERAY",
"state": "ID",
"postal_code": "838529601",
"telephone_number": "208-263-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHERRY",
"first_name": "LINSEY",
"middle_name": "LADONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "bodysmithing@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30410 Highway 200",
"city": "Ponderay",
"state": "ID",
"country_code": "US",
"postal_code": "838529601",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "bodysmithing@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30410 Highway 200",
"city": "Ponderay",
"state": "ID",
"country_code": "US",
"postal_code": "838529601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ponderay, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.