Gina Lynne Carlucci, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019008942 Issued in VA

Practice address

4300 King St
Alexandria, VA 22302-1503

Phone

(703) 933-9333

Fax

(703) 820-0755

NPI assigned

Apr 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1770873291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021503",
            "telephone_number": "703-933-9333",
            "fax_number": "703-820-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021503",
            "telephone_number": "703-933-9333",
            "fax_number": "703-820-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "GINA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT1472",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "12315",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04369",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Cody Friddle DDS PLLC
• Carol Nasr Carle, LCPC
• Sarah Carlis, LMSW, LCSW
• Carlos a. Cruz, MD, PC
• Sydney Carlson
• Ashley Carmen, FNP-C
• Miranda Carney
• Carole N. Yared D.C. PLLC
• Breanna Carozza, NP
• Shrey Carpenter, MD

• Massage Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.