Individual provider Active NPI

Barbara Lynn Pryde, LMP

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1891844932
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011280 Issued in WA
Practice address
111 E Lincoln Rd
Suite 101
Spokane, WA 99208-6901
Phone
(509) 939-8404
Fax
(509) 487-5717
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 MA00011280 WA Primary

Addresses

Primary practice location

111 E Lincoln Rd
Suite 101
Spokane, WA 99208-6901

Mailing address

111 E Lincoln Rd
Ste 101
Spokane, WA 99208-6901
Phone (509) 939-8404

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
MA00011280WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1891844932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E LINCOLN RD",
            "address_2": "STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086901",
            "telephone_number": "509-939-8404",
            "fax_number": "509-487-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LINCOLN RD",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086901",
            "telephone_number": "509-939-8404",
            "fax_number": "509-487-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYDE",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.