Beachersen, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1438 Issued in CO

Legal business name

BEACHERSEN, LLC

Practice address

2302 County Road 234
Durango, CO 81301-8206

Phone

(970) 426-9226

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Lindsay Beach PetersenNPI 1518289669

Title

Owner/Operator

Phone

(970) 426-9226

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Beach Petersen, NCMT

  • Massage Therapist
  • Durango, CO
  • NPI 1518289669
  NPD (past) Authorized official

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1760732788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 COUNTY ROAD 234",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018206",
            "telephone_number": "970-426-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COUNTY ROAD 234",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018206",
            "telephone_number": "970-426-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHERSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "BEACH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "970-426-9226"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "1438",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1518289669",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl L Bateman, LCSW
• George H Baumchen, PA
• Brian D Baxter, O.D.
• Peggy Bayless, LCSW
• Rachel B Beach, M.D.
• Leslie Renee Beals
• Alana J Beattie, OTR
• Rebecca Beaver, LPCC
• Leland Lars Becenti
• Elizabeth Anne Beeson, RN

• Massage Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.