Lloyreen Moss Fraser, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019009793 Issued in VA

Practice address

813 Diligence Dr Ste 121C
Newport News, VA 23606-4285

Phone

(757) 660-1796

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reenie Moss Fraser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Knead to Heal LLC

  • Massage Therapist
  • Newport News, VA
  • NPI 1558823062
  NPD Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1972053908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 DILIGENCE DR STE 121C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 DILIGENCE DR STE 121C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064285",
            "telephone_number": "757-660-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS FRASER",
        "first_name": "LLOYREEN",
        "credential": "MMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019009793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE LICENSE NUMBER",
            "identifier": "0019009793",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENIE",
            "last_name": "MOSS FRASER",
            "credential": "MMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Morrison, PA-C
• Clarke Jerome Morton, M.D.
• Christian Wenger Mosemann
• Marisa Mosier, DPM
• Lucelly Mosquera
• Alyssa Moss, LPC
• Carrie Renee Moss, MD
• Motions of Serenity
• Stacie Mott
• Darine Moukalled, MD

• Massage Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.