Lisa A Simmons, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60180200 Issued in WA

Practice address

1711 E College Way Ste a
Mount Vernon, WA 98273-5610

Phone

(360) 391-5227

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1073821369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S ANACORTES ST",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331908",
            "telephone_number": "360-391-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E COLLEGE WAY STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735610",
            "telephone_number": "360-391-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60180200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Siebecke, SLPA-C
• Sight Partners Physicians, P.C.
• Teresa Joy Signer
• Brittany Silva, LSWAIC
• William Andre Silva, M.D.
• Samantha Leah Simon, MA-C
• Janet Hargis Simpson, MED.
• Annette M Sisson, OTR/L
• Dennis Hartley Skaggs, MA, MS, LMCHA, MHP
• Skagit Behavioral Health

• Massage Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.