Individual provider Active NPI

Cecilia McMullen, LMT

  • Massage Therapist
  • Hammond, LA
National Provider Identifier
1881190858
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LA8818 Issued in LA
Practice address
19184 Dr John Lambert Dr Ste 105
Hammond, LA 70403-0936
Phone
(985) 549-1900
Fax
(985) 549-1888
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 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 LA8818 LA Primary

Addresses

Primary practice location

19184 Dr John Lambert Dr Ste 105
Hammond, LA 70403-0936

Mailing address

19184 Dr John Lambert Dr Ste 105
Hammond, LA 70403-0936
Phone (985) 549-1900

Other practice location 1

389 Highway 21
Madisonville, LA 70447-3441
Phone (985) 792-5996

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
LA8818LAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1881190858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19184 DR JOHN LAMBERT DR STE 105",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030936",
            "telephone_number": "985-549-1900",
            "fax_number": "985-549-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19184 DR JOHN LAMBERT DR STE 105",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030936",
            "telephone_number": "985-549-1900",
            "fax_number": "985-549-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "389 Highway 21",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "LA",
            "postal_code": "704473441",
            "country_code": "US",
            "telephone_number": "985-792-5996",
            "fax_number": "985-792-5998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "CECILIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA8818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

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