Individual provider Active NPI

Melissa Lerai Lunsford, LMT

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1750889580
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60511068 Issued in WA
Practice address
1212 N Argonne Rd
Spokane Valley, WA 99212
Phone
(509) 228-3772
Fax
(509) 228-3770
NPI assigned
Jan 26, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 MA60511068 WA Primary

Addresses

Primary practice location

1212 N Argonne Rd
Spokane Valley, WA 99212

Mailing address

PO Box 72
Fairfield, WA 99012-0072
Phone (509) 570-2886

Other identifiers 1

IdentifierTypeStateIssuer
MA60511068OtherWATAXONOMY 225700000X

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
MA60511068WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Wolf Therapies, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1750889580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "FAIRFIELD",
            "state": "WA",
            "postal_code": "990120072",
            "telephone_number": "509-570-2886",
            "fax_number": "509-228-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N ARGONNE RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99212",
            "telephone_number": "509-228-3772",
            "fax_number": "509-228-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "MELISSA",
        "middle_name": "LERAI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60511068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY 225700000X",
            "identifier": "MA60511068",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.