Individual provider Active NPI

Tracey Larae Lehmann, LMT#4710

  • Massage Therapist
  • Livingston, LA
National Provider Identifier
1801220405
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
#LMT4710 Issued in LA
Practice address
14098 Florida Blvd
Suite D
Livingston, LA 70754
Phone
(406) 860-9295
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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 #LMT4710 LA Primary

Addresses

Primary practice location

14098 Florida Blvd
Suite D
Livingston, LA 70754

Mailing address

14098 Florida Blvd
Suite D.
Livingston, LA 70754
Phone (406) 860-9295

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
#LMT4710LAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1801220405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14098 FLORIDA BLVD",
            "address_2": "SUITE D.",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "406-860-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14098 FLORIDA BLVD",
            "address_2": "SUITE D",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "406-860-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMANN",
        "first_name": "TRACEY",
        "middle_name": "LARAE",
        "name_prefix": "Ms.",
        "credential": "LMT#4710",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "#LMT4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.