Active NPI
Bobbi Lynn Taylor-Thomas
- Massage Therapist
- Lompoc, CA
National Provider Identifier
1417587759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61425
- Practice address
- 115 E Hickory Ave Ste B
Lompoc, CA 93436-7274 - Phone
- (805) 670-1307
- NPI assigned
- Jan 24, 2020
- 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 | 61425 | CA | Primary |
Addresses
Primary practice location
115 E Hickory Ave Ste B
Lompoc, CA 93436-7274
Mailing address
3747 Lunar Cir
Lompoc, CA 93436-1948
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 |
|---|---|---|---|
| 61425 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1417587759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3747 LUNAR CIR",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934361948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E HICKORY AVE STE B",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367274",
"telephone_number": "805-670-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-THOMAS",
"first_name": "BOBBI",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "61425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.