Lavender Luxe Massage

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAVENDER LUXE MASSAGE

Doing business as

Lavender luxe massage

Practice address

100 3Rd St Ste 100
Davenport, WA 99122-5008

Phone

(509) 725-3333

Fax

(509) 725-3334

NPI assigned

Mar 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer M Downing, LMT

Title

Owner

Phone

(509) 992-9129

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lavender luxe massage Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1609403054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991220321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD ST STE 100",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991225008",
            "telephone_number": "509-725-3333",
            "fax_number": "509-725-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER LUXE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-992-9129",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588107767",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jennifermarcella@outlook.com",
            "affiliation": "N",
            "address_1": "100 3rd St Ste 100",
            "city": "Davenport",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991225008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lavender luxe massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Knute J Hernas DDS PS
• Richelle Kay Kowalkowski, RN
• Breanne N Lamoureaux
• Jennifer Ann Larmer, RN
• Angela G Larson
• Lincoln County
• Lincoln County Alcohol Drug Center
• Lincoln County Healthmart Pharm
• Lincoln County Hospital District #3
• Lincoln County Hospital District #3 / North Basin Medical Clinics

• Clinic/Center in Davenport, WA
• Providers in Davenport, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.