Active NPI
Lisa Marie Guilloty, LMP
- Massage Therapist
- Snohomish, WA
National Provider Identifier
1306925813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA10720
- Practice address
- 1311 Bonneville Ave Ste 201
Snohomish, WA 98290-2087 - Phone
- (425) 344-9778
- NPI assigned
- Nov 3, 2006
- 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 | MA10720 | WA | Primary |
Addresses
Primary practice location
1311 Bonneville Ave Ste 201
Snohomish, WA 98290-2087
Mailing address
1311 Bonneville Ave Ste 201
Snohomish, WA 98290-2087
Phone (425) 344-9778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117719 | Other | WA | LABOR & INDUSTRIES |
| 4748MA | Other | WA | REGENCE |
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 |
|---|---|---|---|
| MA10720 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1306925813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 BONNEVILLE AVE STE 201",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902087",
"telephone_number": "425-344-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 BONNEVILLE AVE STE 201",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902087",
"telephone_number": "425-344-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLOTY",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA10720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "117719",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "4748MA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.