Active NPI
Rachael Lynne Race, L.M.T., L.M.P.
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1972047454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60668112
- Practice address
- 8221 NE Hazel Dell Ave
Vancouver, WA 98665-8153 - Phone
- (360) 977-6090
- NPI assigned
- Dec 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60668112 | WA | Primary |
| Massage Therapist | 225700000X | 22303 | OR |
Addresses
Primary practice location
8221 NE Hazel Dell Ave
Vancouver, WA 98665-8153
Mailing address
13004 NE 93Rd St
Vancouver, WA 98682-3037
Phone (360) 910-6882
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 |
|---|---|---|---|
| 22303 | OR | MD | Massage Therapist |
| MA 60668112 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482019200000",
"number": "1972047454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13004 NE 93RD ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986823037",
"telephone_number": "360-910-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 NE HAZEL DELL AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658153",
"telephone_number": "360-977-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACE",
"first_name": "RACHAEL",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "L.M.T., L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-18",
"last_updated": "2016-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60668112",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.