Active NPI
Elizabeth Ann Michelsen, LMT
- Massage Therapist
- Barneveld, WI
National Provider Identifier
1003454505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13496-146
- Practice address
- 101 S Jones St Ste 100
Barneveld, WI 53507-9801 - Phone
- (608) 924-2424
- NPI assigned
- Dec 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 13496-146 | WI | Primary |
Addresses
Primary practice location
101 S Jones St Ste 100
Barneveld, WI 53507-9801
Mailing address
317 Pawling St Apt 4
Madison, WI 53704-5042
Phone (608) 445-9055
Other names 1
- Liz Michelsen
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 |
|---|---|---|---|
| 13496-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576368000000",
"number": "1003454505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 PAWLING ST APT 4",
"city": "MADISON",
"state": "WI",
"postal_code": "537045042",
"telephone_number": "608-445-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S JONES ST STE 100",
"city": "BARNEVELD",
"state": "WI",
"postal_code": "535079801",
"telephone_number": "608-924-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSEN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-15",
"last_updated": "2019-12-15",
"certification_date": "2019-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "13496-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "MICHELSEN",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Barneveld, WI
- Theresa Ann Jones, PTA
- Megan S Keesey, APNP
- Patricia A. Laufenberg, MSOM, BSN, LAC.
- Jodi Peterson McGraw, MD
- Sherry Lynn McMullan, RN
- Lisa O'Donnell, M.S., M.S.E, ED.S.
- Hilary Shemak, RN
- Upland Hills Health, Inc (Upland Hills Health Clinic - Barneveld)
- Upland Hills Health, Inc (Upland Hills Health Clinic - Barneveld)
- Tamara J Vandenbergh, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.