NPIMap

Individual provider Active NPI

Amanda Marie Lerma, L.M.P

  • Massage Therapist
  • Mill Creek, WA
National Provider Identifier
1366677056
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60086301 Issued in WA
Practice address
17917 Bothell Everett Hwy
Ste. 201 a
Mill Creek, WA 98012-6384
Phone
(425) 483-5594
Fax
(425) 487-0727
NPI assigned
May 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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 MA60086301 WA Primary

Addresses

Primary practice location

17917 Bothell Everett Hwy
Ste. 201 a
Mill Creek, WA 98012-6384

Mailing address

17917 Bothell Everett Hwy
Ste. 201 a
Mill Creek, WA 98012-6384
Phone (425) 483-5594

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
MA60086301WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1366677056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY",
            "address_2": "STE. 201 A",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126384",
            "telephone_number": "425-483-5594",
            "fax_number": "425-487-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY",
            "address_2": "STE. 201 A",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126384",
            "telephone_number": "425-483-5594",
            "fax_number": "425-487-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "L.M.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60086301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.