Active NPI
Lauretta A Thompson
- Massage Therapist
- Fairfax, VA
National Provider Identifier
1619258746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019006433
- Practice address
- 8550 Arlington Blvd Suite 325
Roselle Center for Healing
Fairfax, VA 22031 - Phone
- (703) 698-7117
- Fax
- (703) 698-5729
- NPI assigned
- Sep 2, 2011
- 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 | 0019006433 | VA | Primary |
Addresses
Primary practice location
8550 Arlington Blvd Suite 325
Roselle Center for Healing
Fairfax, VA 22031
Mailing address
8550 Arlington Blvd Suite 325
Roselle Center for Healing
Fairfax, VA 22031
Phone (703) 698-7117
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 |
|---|---|---|---|
| 0019006433 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multi Discipline Alternative Care Center, LTD | Past | 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.
-
- Chiropractor
- Fairfax, VA
- NPI 1275729501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1619258746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 ARLINGTON BLVD SUITE 325",
"address_2": "ROSELLE CENTER FOR HEALING",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-698-7117",
"fax_number": "703-698-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 ARLINGTON BLVD SUITE 325",
"address_2": "ROSELLE CENTER FOR HEALING",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-698-7117",
"fax_number": "703-698-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LAURETTA",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019006433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.