Active NPI
Lucie Le Nguyen I, MA60973652
- Massage Therapist
- Issaquah, WA
National Provider Identifier
1891348751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60973652
- Practice address
- 680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454 - Phone
- (425) 427-6562
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60973652 | WA | Primary |
Addresses
Primary practice location
680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454
Mailing address
3102 SE 3Rd St
Renton, WA 98056-5818
Phone (425) 524-5569
Other practice location 1
3102 SE 3rd St
Renton, WA 98056-5818
Phone (425) 524-5569
Other practice location 2
15 S Grady Way Ste Ll25
Renton, WA 98057-3218
Phone (425) 228-5217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60973652 | Other | WA | LICENSED MASSAGE THERAPIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60973652 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Massage & Bodywork, Inc | 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 and National Provider Directory roles.
-
- Specialist
- Renton, WA
- NPI 1205004777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1891348751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 SE 3RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980565818",
"telephone_number": "425-524-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 NW GILMAN BLVD STE A",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272454",
"telephone_number": "425-427-6562"
}
],
"practiceLocations": [
{
"address_1": "3102 SE 3rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980565818",
"country_code": "US",
"telephone_number": "425-524-5569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 S Grady Way Ste Ll25",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980573218",
"country_code": "US",
"telephone_number": "425-228-5217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE NGUYEN",
"first_name": "LUCIE",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "MA60973652",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60973652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "MA60973652",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.