Active NPI
Sagefemme Wellness LLC
- Massage Therapist
- Half Moon Bay, CA
National Provider Identifier
1205514411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- SAGEFEMME WELLNESS LLC
- Practice address
- 225 Cabrillo Hwy S Ste 204C
Half Moon Bay, CA 94019-1738 - Phone
- (424) 260-3691
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Lydia-Carlie Blain Tilus
- Title
- Owner/Operator
- Phone
- (424) 260-3691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
225 Cabrillo Hwy S Ste 204C
Half Moon Bay, CA 94019-1738
Mailing address
400 E Hillsdale Blvd Apt 208
San Mateo, CA 94403-2882
Phone (909) 758-6248
National Provider Directory
National Provider DirectoryLocations
225 Cabrillo Hwy S
Ste 204C
Half Moon Bay, CA 94019
Phone (424) 240-3691
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688688000000",
"number": "1205514411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E HILLSDALE BLVD APT 208",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032882",
"telephone_number": "909-758-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CABRILLO HWY S STE 204C",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191738",
"telephone_number": "424-260-3691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGEFEMME WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A",
"authorized_official_last_name": "TILUS",
"authorized_official_first_name": "LYDIA-CARLIE",
"authorized_official_middle_name": "BLAIN",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "424-260-3691",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.