Active NPI
Lisa P Stevens, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1275813909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60230509
- Practice address
- 902 NE 65TH St
Seattle, WA 98115-5562 - Phone
- (206) 267-0863
- NPI assigned
- Aug 25, 2011
- Last updated
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60230509 | WA | Primary |
Addresses
Primary practice location
902 NE 65TH St
Seattle, WA 98115-5562
Mailing address
1827 3Rd Ave W
Apt F
Seattle, WA 98119-3046
Phone (715) 271-9445
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60230509 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamclinic LLC | Massage Therapist | 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.
-
- Massage Therapist
- Seattle, WA
- NPI 1104969054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1275813909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 3RD AVE W",
"address_2": "APT F",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981193046",
"telephone_number": "715-271-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 NE 65TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155562",
"telephone_number": "206-267-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "LISA",
"middle_name": "P",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60230509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.