Organization Active NPI

Sagefemme Wellness LLC

  • Massage Therapist
  • Half Moon Bay, CA
National Provider Identifier
1205514411
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Miss Lydia-Carlie Blain TilusNPI 1265909592
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)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.