Lacey Nicole Bevan, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-1967 Issued in ID

Practice address

850 E Center St Suite F
Pocatello, ID 83201-5737

Phone

(208) 637-9940

NPI assigned

Jul 28, 2026

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lacey Nicole Binger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1952223356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E PRICE RD",
            "city": "MCCAMMON",
            "state": "ID",
            "postal_code": "832501610",
            "telephone_number": "208-637-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E CENTER ST SUITE F",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015737",
            "telephone_number": "208-637-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "LACEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "BINGER",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.