Individual provider Active NPI

Sherry L McGuire, LMT

  • Specialist
  • Lake Havasu City, AZ
National Provider Identifier
1275899916
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT-03867P Issued in AZ
Practice address
English Village
Suite 315
Lake Havasu City, AZ 86403-0802
Phone
(928) 855-4664
Fax
(928) 453-7607
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MT-03867P AZ Primary

Addresses

Primary practice location

English Village
Suite 315
Lake Havasu City, AZ 86403-0802

Mailing address

1800 Montana Vista
Lake Havasu City, AZ 86403-9363
Phone (928) 855-4664

Other identifiers 1

IdentifierTypeStateIssuer
MT-03867POtherAZLICENSED MASSAGE THERAPIST

Other names 1

  • Ms. Sherry L McGuire Professional name

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
MT-03867PAZMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1275899916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MONTANA VISTA",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039363",
            "telephone_number": "928-855-4664",
            "fax_number": "928-453-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ENGLISH VILLAGE",
            "address_2": "SUITE 315",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864030802",
            "telephone_number": "928-855-4664",
            "fax_number": "928-453-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "MT-03867P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MT-03867P",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "MCGUIRE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.