Individual provider Active NPI

Lauren Rae Herda, LMT

  • Massage Therapist
  • Lorain, OH
National Provider Identifier
1649448929
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
RW789221 Issued in OH
Practice address
1147 Meister Rd
Suite 15a
Lorain, OH 44053-2929
Phone
(440) 282-1147
Fax
(440) 282-1192
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 RW789221 OH Primary

Addresses

Primary practice location

1147 Meister Rd
Suite 15a
Lorain, OH 44053-2929

Mailing address

1147 Meister Rd
Suite 15a
Lorain, OH 44053-2929
Phone (440) 282-1147

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
RW789221OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management & Chiropractic LLC 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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1649448929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 MEISTER RD",
            "address_2": "SUITE 15A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532929",
            "telephone_number": "440-282-1147",
            "fax_number": "440-282-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 MEISTER RD",
            "address_2": "SUITE 15A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532929",
            "telephone_number": "440-282-1147",
            "fax_number": "440-282-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDA",
        "first_name": "LAUREN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "RW789221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.