Individual provider Active NPI

Carrie Jeanteal Lorenz, M.T.

  • Massage Therapist
  • Auburn, WA
National Provider Identifier
1528567948
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60599879 Issued in WA
Practice address
1118 Outlet Collection Way SW Ste 101
Auburn, WA 98001-6569
Phone
(253) 269-0261
Fax
(253) 269-0202
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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 MA60599879 WA Primary

Addresses

Primary practice location

1118 Outlet Collection Way SW Ste 101
Auburn, WA 98001-6569

Mailing address

1118 Outlet Collection Way SW Ste 101
Auburn, WA 98001-6569
Phone (253) 269-0261

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA60599879WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Chiropractic P.S. PastSince Aug 1, 2016 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1528567948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 OUTLET COLLECTION WAY SW STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016569",
            "telephone_number": "253-269-0261",
            "fax_number": "253-269-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 OUTLET COLLECTION WAY SW STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016569",
            "telephone_number": "253-269-0261",
            "fax_number": "253-269-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "CARRIE",
        "middle_name": "JEANTEAL",
        "name_prefix": "Ms.",
        "credential": "M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60599879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.