Active NPI
Ana Monique Leger, LMT
- Massage Therapist
- Lafayette, LA
National Provider Identifier
1578799003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4615-01
- Practice address
- 102 Woodvale Ave
Suite C
Lafayette, LA 70503-3734 - Phone
- (337) 406-4790
- Fax
- (337) 406-4791
- NPI assigned
- Jun 10, 2009
- 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 | 4615-01 | LA | Primary |
Addresses
Primary practice location
102 Woodvale Ave
Suite C
Lafayette, LA 70503-3734
Mailing address
408 S Broadway St
Church Point, LA 70525-3508
Phone (225) 241-6677
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 |
|---|---|---|---|
| 4615-01 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1578799003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S BROADWAY ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705253508",
"telephone_number": "225-241-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WOODVALE AVE",
"address_2": "SUITE C",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033734",
"telephone_number": "337-406-4790",
"fax_number": "337-406-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGER",
"first_name": "ANA",
"middle_name": "MONIQUE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "4615-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.