Individual provider Active NPI

Patrice Lumumba Lynch

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1649424490
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60041358 Issued in WA
Practice address
2041 E Madison St
Seattle, WA 98122-2959
Phone
(206) 794-1722
Fax
(206) 328-0514
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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 60041358 WA Primary

Addresses

Primary practice location

2041 E Madison St
Seattle, WA 98122-2959

Mailing address

2041 E Madison St
Seattle, WA 98122-2959
Phone (206) 794-1722

Other identifiers 1

IdentifierTypeStateIssuer
MA 60041358MedicaidWA

Other names 1

  • Patrice Lumumba Lynch Professional name

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 60041358WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hemphill Chiropractic Clinic, P.S. PastSince Oct 10, 2017 Accepting new patients
Seattle Back Clinic P.S.Inc. PastSince Aug 1, 2010 Accepting new patients

Organizations & group practices 2

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1649424490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "206-794-1722",
            "fax_number": "206-328-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "206-794-1722",
            "fax_number": "206-328-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "PATRICE",
        "middle_name": "LUMUMBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60041358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA 60041358",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "LYNCH",
            "middle_name": "LUMUMBA",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.