Active NPI
Andrew Gene Lauridsen, LMT
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1962989996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60878088
- Practice address
- 2101 Cornwall Ave # 102
Bellingham, WA 98225-3649 - Phone
- (360) 647-1900
- NPI assigned
- Jul 23, 2018
- Sex
- Male
- Sole proprietor
- No
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 | MA60878088 | WA | Primary |
Addresses
Primary practice location
2101 Cornwall Ave # 102
Bellingham, WA 98225-3649
Mailing address
524 Jameson St
Sedro Woolley, WA 98284-1637
Phone (903) 283-3410
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 |
|---|---|---|---|
| MA60878088 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E Curtis DC PS | 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.
-
- Chiropractor
- Bellingham, WA
- NPI 1932218732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1962989996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 JAMESON ST",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982841637",
"telephone_number": "903-283-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CORNWALL AVE # 102",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982253649",
"telephone_number": "360-647-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIDSEN",
"first_name": "ANDREW",
"middle_name": "GENE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60878088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.