Individual provider Active NPI

Tara Cristelle Lascola, MMP

  • Massage Therapist
  • Peabody, MA
National Provider Identifier
1659615003
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2875 Issued in MA
Practice address
47-49 Central St
Peabody, MA 01960-4375
Phone
(978) 278-3310
NPI assigned
Nov 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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 2875 MA Primary

Addresses

Primary practice location

47-49 Central St
Peabody, MA 01960-4375

Mailing address

47-49 Central St
Peabody, MA 01960-4375
Phone (978) 278-3310

Other identifiers 1

IdentifierTypeStateIssuer
2875OtherMASTATE OF MA

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

Practice roles

OrganizationSpecialtyStatusNew patients
TL Massage Therapy 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": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1659615003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-49 CENTRAL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604375",
            "telephone_number": "978-278-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-49 CENTRAL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604375",
            "telephone_number": "978-278-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASCOLA",
        "first_name": "TARA",
        "middle_name": "CRISTELLE",
        "credential": "MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MA",
            "identifier": "2875",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.