Amaris McIlwain, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3200 SE 164TH Ave Ste 212
Vancouver, WA 98683-1108

Phone

(360) 406-4884

Fax

(360) 721-2920

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vigor Natural Health Clinic, LLC

  • Health Service Clinic/Center
  • Vancouver, WA
  • NPI 1962895961
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1154851780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SE 119TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835243",
            "telephone_number": "360-721-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SE 164TH AVE STE 212",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831108",
            "telephone_number": "360-406-4884",
            "fax_number": "360-721-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "AMARIS",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary McGuire-Dale, NURSE PRACTITIONER
• Denise McGuire
• Michelle M McGuire, RD
• Tracy Colleen McGuire, L.I.C.S.W.
• Bethany McIlvain, L.M.P.
• Anita Lynn McIntire, LMP
• Brian McIntire
• Lisa McIntosh
• Kristina McIntyre, LMT
• Mandi McIsaac

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.