Individual provider Active NPI

Amanda Brooke Lassetter-White, LMT NCMT

  • Massage Therapist
  • Rainsville, AL
National Provider Identifier
1487735635
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
728 Issued in AL
Practice address
509 McCurdy Ave N Unit 1
Rainsville, AL 35986-4476
Phone
(256) 638-2627
Fax
(256) 638-2627
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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 728 AL Primary

Addresses

Primary practice location

509 McCurdy Ave N Unit 1
Rainsville, AL 35986-4476

Mailing address

PO Box 2031
Rainsville, AL 35986
Phone (256) 638-2627

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
728ALMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1487735635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2031",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-2627",
            "fax_number": "256-638-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MCCURDY AVE N UNIT 1",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864476",
            "telephone_number": "256-638-2627",
            "fax_number": "256-638-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSETTER-WHITE",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "name_prefix": "Miss",
        "credential": "LMT NCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.