Individual provider Active NPI

Karen Lynn Lashure

  • Massage Therapist
  • Saint John, IN
National Provider Identifier
1457977761
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT21404987 Issued in IN
Practice address
10210 Wicker Ave Ste 5
Saint John, IN 46373-8408
Phone
(219) 796-0975
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 MT21404987 IN Primary

Addresses

Primary practice location

10210 Wicker Ave Ste 5
Saint John, IN 46373-8408

Mailing address

14434 Wheeler St
Cedar Lake, IN 46303-9623

Other practice location 1

1139 Joliet St
Dyer, IN 46311-1926
Phone (219) 641-7359

Other identifiers 1

IdentifierTypeStateIssuer
MT21404987OtherINPLA

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
MT21404987INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Healing Works LLC Past Accepting new patients
Continuim Wellness, LLC. PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1457977761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14434 WHEELER ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 WICKER AVE STE 5",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738408",
            "telephone_number": "219-796-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Joliet St",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111926",
            "country_code": "US",
            "telephone_number": "219-641-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASHURE",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21404987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLA",
            "identifier": "MT21404987",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.