Fearecia Maddox, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60351855 Issued in WA

Practice address

12727 W 14TH Ave
Airway Heights, WA 99001-9409

Phone

(509) 244-4818

Fax

(509) 244-8945

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Robyn Kathleen Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eric Dudenhofer Arnp PS

  • Family Nurse Practitioner
  • Clarkston, WA
  • NPI 1245767631
  NPD (past)
• West Plains Chiropractic, PS

  • Chiropractor
  • Airway Heights, WA
  • NPI 1336283662
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1710329107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 E SHANNON AVE",
            "address_2": "#C143",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161651",
            "telephone_number": "208-290-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 W 14TH AVE",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019409",
            "telephone_number": "509-244-4818",
            "fax_number": "509-244-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "FEARECIA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60351855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "PHILLIPS",
            "middle_name": "KATHLEEN",
            "credential": "CNA, RMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Koch, PHD
• Sara Ann Kruger
• Meira Lavadour, LMP
• Nina Lynette Lewis, LP61420919
• LK Healthcare Systems, L.L.C.
• Erica Inez Marin
• Steven Edward McCray II
• Braelyn Yvonne McManus
• Lisa Dawn McNew
• Rose Ann Mead, CDP

• Massage Therapist in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.