Individual provider Active NPI

Kathy Parker

  • Massage Therapist
  • Portsmouth, VA
National Provider Identifier
1972818839
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019015620 Issued in VA
Practice address
340 High St Ste 204
Portsmouth, VA 23704-3707
Phone
(757) 639-5222
Fax
(757) 565-6508
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306001176 VA
Massage Therapist 225700000X 0019015620 VA Primary

Addresses

Primary practice location

340 High St Ste 204
Portsmouth, VA 23704-3707

Mailing address

596 Newman Dr
Newport News, VA 23601-4135
Phone (757) 639-5222

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lotusessentialsmassageandwellness.com Health Information Exchange (HIE)

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
2306001176VAMDPhysical Therapy Assistant
0019015620VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Essentials, LLC Massage Therapist CurrentSince Nov 10, 2024 Accepting new patients

Locations

340 High St
Ste 204
Portsmouth, VA 23704
Phone (757) 639-5222

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.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1972818839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NEWMAN DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236014135",
            "telephone_number": "757-639-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HIGH ST STE 204",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043707",
            "telephone_number": "757-639-5222",
            "fax_number": "757-565-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001176",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019015620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lotusessentialsmassageandwellness.com",
            "affiliation": "N",
            "endpointDescription": "secured web address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "340 High St Ste 204",
            "city": "Portsmouth",
            "state": "VA",
            "country_code": "US",
            "postal_code": "237043707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.