Active NPI
Holly Noelle Heian, L.M.P.
- Massage Therapist
- Tumwater, WA
National Provider Identifier
1154497907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA17411
- Practice address
- 6334 Littlerock Rd SW
BLDG 6, Suite 101
Tumwater, WA 98512 - Phone
- (360) 359-2162
- Fax
- (360) 709-9220
- NPI assigned
- Nov 24, 2006
- 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 | MA17411 | WA | Primary |
Addresses
Primary practice location
6334 Littlerock Rd SW
BLDG 6, Suite 101
Tumwater, WA 98512
Mailing address
6334 Littlerock Rd SW
BLDG 6, Suite 101
Tumwater, WA 98512
Phone (360) 359-2162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA17411 | Other | WA | HEALTH LICENSE |
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 |
|---|---|---|---|
| MA17411 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154497907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6334 LITTLEROCK RD SW",
"address_2": "BLDG 6, SUITE 101",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-359-2162",
"fax_number": "360-709-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6334 LITTLEROCK RD SW",
"address_2": "BLDG 6, SUITE 101",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-359-2162",
"fax_number": "360-709-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIAN",
"first_name": "HOLLY",
"middle_name": "NOELLE",
"name_prefix": "Ms.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA17411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LICENSE",
"identifier": "MA17411",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.