Individual provider Active NPI

Janis Lynn-Harris Corona, LMT

  • Massage Therapist
  • Corona, CA
National Provider Identifier
1235957846
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18843 Issued in CA
Practice address
1973 Foothill Pkwy Unit 110
Corona, CA 92881-4110
Phone
(951) 358-9116
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18843 CA Primary

Addresses

Primary practice location

1973 Foothill Pkwy Unit 110
Corona, CA 92881-4110

Mailing address

1973 Foothill Pkwy Unit 110, PMB 2
Corona, CA 92881-4110
Phone (951) 358-9116

Other names 1

  • Janis Lynn Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1235957846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 FOOTHILL PKWY UNIT 110, PMB 2",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814110",
            "telephone_number": "951-358-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 FOOTHILL PKWY UNIT 110",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814110",
            "telephone_number": "951-358-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "JANIS",
        "middle_name": "LYNN-HARRIS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "18843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "HARRIS",
            "middle_name": "LYNN",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.