Individual provider Active NPI

Cindy Lea Nelms Proctor, LMP

  • Massage Therapist
  • Chehalis, WA
National Provider Identifier
1376590802
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020057 Issued in WA
Practice address
151 N Market Blvd
# B
Chehalis, WA 98532-2677
Phone
(360) 880-0561
Fax
(360) 740-4879
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MA00020057 WA Primary

Addresses

Primary practice location

151 N Market Blvd
# B
Chehalis, WA 98532-2677

Mailing address

151 N Market Blvd
# B
Chehalis, WA 98532-2677
Phone (360) 880-0561

Other identifiers 2

IdentifierTypeStateIssuer
MA00020057OtherWASTATE LICENSE
0191637OtherWAL & I PROVIDER NUMBER

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
MA00020057WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376590802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD",
            "address_2": "# B",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-880-0561",
            "fax_number": "360-740-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD",
            "address_2": "# B",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-880-0561",
            "fax_number": "360-740-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS PROCTOR",
        "first_name": "CINDY",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA00020057",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "0191637",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.