Tarissa Fears, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0002023 Issued in CO

Practice address

420 Breeze St
Craig, CO 81625-2620

Phone

(970) 629-1992

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1023488285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 LANGFORD DR",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251542",
            "telephone_number": "970-629-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BREEZE ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252620",
            "telephone_number": "970-629-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARS",
        "first_name": "TARISSA",
        "name_prefix": "Mrs.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0002023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynae R Ellgen, LCSW
• Jimmy Scott Ellis, D.O.
• Jona M Ely, NP
• Laurie Engelhardt, RPH
• Eyecare Specialties Inc.
• Neal L Fenton, DDS
• Kaiulani Fisher
• Neilene Folks, PA-C
• Robbie Lee Frentress, RN
• G & G Medical Inc

• Massage Therapist in Craig, CO
• Providers in Craig, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.