Active NPI
Jemison Lacy, LMT
- Massage Therapist
- Arvada, CO
National Provider Identifier
1679248298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0023966
- Practice address
- 8795 Ralston Rd Ste 202C
Arvada, CO 80002-2357 - Phone
- (720) 203-0239
- NPI assigned
- Aug 16, 2021
- Last updated
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 0023966 | CO | Primary |
Addresses
Primary practice location
8795 Ralston Rd Ste 202C
Arvada, CO 80002-2357
Mailing address
3295 S Indiana St
Lakewood, CO 80228-5499
Phone (727) 600-2866
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 |
|---|---|---|---|
| 0023966 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1679248298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 S INDIANA ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802285499",
"telephone_number": "727-600-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8795 RALSTON RD STE 202C",
"city": "ARVADA",
"state": "CO",
"postal_code": "800022357",
"telephone_number": "720-203-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "JEMISON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0023966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.