Active NPI
Heather Lackey
- Massage Therapist
- Kailua, HI
National Provider Identifier
1477098119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15033
- Practice address
- 970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883 - Phone
- (808) 488-5555
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 15033 | HI | Primary |
Addresses
Primary practice location
970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883
Mailing address
6274A Padilla Dr
Kailua, HI 96734-4991
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 |
|---|---|---|---|
| 15033 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1477098119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6274A PADILLA DR",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N KALAHEO AVE STE C316",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341883",
"telephone_number": "808-488-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "15033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.