Haley Lucido Blankenship, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61295633 Issued in WA

Practice address

104 Grand Blvd Ste 102
Vancouver, WA 98661-7707

Phone

(360) 695-5332

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Haley Michele Lucido Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1700524931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SE 192ND AVE APT B404",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831444",
            "telephone_number": "334-235-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GRAND BLVD STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617707",
            "telephone_number": "360-695-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 SE 192nd Ave Apt B404",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986831444",
            "country_code": "US",
            "telephone_number": "334-235-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "HALEY",
        "middle_name": "LUCIDO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61295633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "LUCIDO",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna W Blanchard, MOTR/L
• Kelly Ann Blanchard, RN
• Taylor Blanchard
• Sarah Ruth Blanchette, LICSWA
• Kip Bryan Bland, CRNA
• Isaac Evertt Blankenship
• Jason Anthony Blankenship, CRNA
• Leah Blanton
• Justine Aurore-Marie Blaud, RN, CNM
• Tiffini Blaylock-Smith, L.M.P.

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.