Individual provider Active NPI

Lynda L Hopkins, LMT, ESTHETICIAN,LPN

  • Massage Therapist
  • Eagle, ID
National Provider Identifier
1740833573
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASG-1318 Issued in ID
Practice address
539 S Fitness PL Ste 150
Eagle, ID 83616-7035
Phone
(208) 507-8119
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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 MASG-1318 ID Primary

Addresses

Primary practice location

539 S Fitness PL Ste 150
Eagle, ID 83616-7035

Mailing address

539 S Fitness PL Ste 150
Eagle, ID 83616-7035
Phone (208) 507-8119

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
MASG-1318IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Massage LLC Massage Therapist CurrentSince Aug 27, 2023 Accepting new patients

Locations

539 S Fitness Pl
Ste 150
Eagle, ID 83616
Phone (208) 507-8119

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": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1740833573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167035",
            "telephone_number": "208-507-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167035",
            "telephone_number": "208-507-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "LYNDA",
        "middle_name": "L",
        "credential": "LMT, ESTHETICIAN,LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.