Active NPI
Raynee H McLemore, LMP
- Massage Therapist
- Dover, ID
National Provider Identifier
1609077650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-3925
- Practice address
- 419 Becker LN
Dover, ID 83825-0018 - Phone
- (208) 946-1330
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MAS-3925 | ID | Primary |
Addresses
Primary practice location
419 Becker LN
Dover, ID 83825-0018
Mailing address
PO Box 509
Dover, ID 83825-0509
Phone (208) 946-1330
Other practice location 1
17419 139th Ave NE
Woodinville, WA 98072-8519
Phone (206) 818-5818
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 |
|---|---|---|---|
| MAS-3925 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1609077650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 509",
"city": "DOVER",
"state": "ID",
"postal_code": "838250509",
"telephone_number": "208-946-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 BECKER LN",
"city": "DOVER",
"state": "ID",
"postal_code": "838250018",
"telephone_number": "208-946-1330"
}
],
"practiceLocations": [
{
"address_1": "17419 139th Ave NE",
"address_purpose": "LOCATION",
"city": "Woodinville",
"state": "WA",
"postal_code": "980728519",
"country_code": "US",
"telephone_number": "206-818-5818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEMORE",
"first_name": "RAYNEE",
"middle_name": "H",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-3925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.