Individual provider Active NPI

Anja Maria Leon-Guerrero

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1225354889
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60103954 Issued in WA
Practice address
1386 SE Lund Ave
Suite 1
Port Orchard, WA 98366-5601
Phone
(360) 874-7494
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60103954 WA Primary
Massage Therapist 225700000X 16111 OR

Addresses

Primary practice location

1386 SE Lund Ave
Suite 1
Port Orchard, WA 98366-5601

Mailing address

4915 Sherlyn Ave SE
Port Orchard, WA 98367-7866
Phone (360) 551-0457

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

LicenseStateTypeSpecialty
16111ORMDMassage Therapist
MA60103954WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health Care Center Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1225354889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SHERLYN AVE SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983677866",
            "telephone_number": "360-551-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 SE LUND AVE",
            "address_2": "SUITE 1",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665601",
            "telephone_number": "360-874-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON-GUERRERO",
        "first_name": "ANJA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60103954",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.