Bella Vida Massage & Bodywork, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

14160 Issued in OR

Legal business name

BELLA VIDA MASSAGE & BODYWORK, LLC

Practice address

239 S 1St St
Saint Helens, OR 97051-2003

Phone

(503) 396-9617

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Anne Robbins, LMT

Title

Owner/Massage Therapist

Phone

(503) 396-9617

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Anne Wieneke, LMT

  • Massage Therapist
  • Saint Helens, OR
  • NPI 1134358112
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1053712018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S 1ST ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512003",
            "telephone_number": "503-396-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S 1ST ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512003",
            "telephone_number": "503-396-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VIDA MASSAGE & BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-396-9617",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "14160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "14160",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER TYPE 1",
            "identifier": "1134358112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marti Bazell, M.D.
• Beacon Chiropractic, LLC
• William Beall Jr.
• Cindy D Beeks, LPC
• Kenneth John Beeler Jr., C.R.M.
• Kathleen Sue Belwood
• Nathan Adrian Bernal
• Brandon Bettelyoun
• Phillip Leroy Bettin, CADCII, NCACII
• Cecil Kuckup Bettles

• Health Service Clinic/Center in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.