Individual provider Active NPI

Rachel Laurell Negrete-Lopez, LMP

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1629488663
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60443419 Issued in WA
Practice address
1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718
Phone
(360) 574-3141
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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 MA 60443419 WA Primary

Addresses

Primary practice location

1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718

Mailing address

1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718
Phone (360) 574-3141

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

LicenseStateTypeSpecialty
MA 60443419WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cke Longevity LLC Massage Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1629488663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 NE 134TH ST STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852718",
            "telephone_number": "360-574-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 NE 134TH ST STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852718",
            "telephone_number": "360-574-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRETE-LOPEZ",
        "first_name": "RACHEL",
        "middle_name": "LAURELL",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60443419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.