NPIMap

Organization Active NPI

Luminous Massage & Body Work

  • Preferred Provider Organization
  • Vancouver, WA
National Provider Identifier
1366988495
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MA60699064 Issued in WA
Legal business name
LUMINOUS MASSAGE & BODY WORK
Practice address
2006 Main St
Vancouver, WA 98660-2637
Phone
(360) 906-0826
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Ms. Marcey M Ivory, LMT
Title
Owner/ Massage Therapist
Phone
(720) 360-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MA60699064 WA Primary

Addresses

Primary practice location

2006 Main St
Vancouver, WA 98660-2637

Mailing address

6000 NE 35TH Cir
Vancouver, WA 98661-7229
Phone (720) 360-9451

National Provider Directory

National Provider Directory

Locations

2006 Main St
Vancouver, WA 98660
Phone (360) 906-0826

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1366988495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 NE 35TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617229",
            "telephone_number": "720-360-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602637",
            "telephone_number": "360-906-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS MASSAGE & BODY WORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "MARCEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ MASSAGE THERAPIST",
        "authorized_official_telephone_number": "720-360-9451",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MA60699064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.