Diane Michelle Miollis, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00019809 Issued in WA

Practice address

1424 16TH Ave
Longview, WA 98632-2901

Phone

(360) 425-6620

Fax

(360) 425-1277

NPI assigned

Aug 20, 2007

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

Other names 1

• Mrs. Diane Miollis-Hammond Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Advantage Chiropratic & Massage, P.S.

  • Chiropractor
  • Longview, WA
  • NPI 1750497236
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1265625628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 16TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322901",
            "telephone_number": "360-425-6620",
            "fax_number": "360-425-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 16TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322901",
            "telephone_number": "360-425-6620",
            "fax_number": "360-425-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIOLLIS",
        "first_name": "DIANE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MIOLLIS-HAMMOND",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thammasak Mingbunjerdsuk
• Minhhuy Nguyen, PLLC
• Alexis Rea Minium, LMP
• Megan Minthorn, RN
• Mason Minton, LMP
• Philip James Miollis, DDS
• Idelee Garcia Miranda, M.D.
• Angela Lynn Mitchell, SUDP, LICSWA
• Cecily Kaninawe Mitchell, LMP
• Hannah Mitchell, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.