Lisa Marie Heenan, MASSAGE PRACTIONER

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA60199222 Issued in WA

Practice address

4008 W Lake Samm Pkwy NE Apt D1
Redmond, WA 98052-5627

Phone

(425) 463-5476

NPI assigned

Jan 24, 2011

Last updated

Jan 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1336444249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 W LAKE SAMM PKWY NE APT D1",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525627",
            "telephone_number": "425-463-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 W LAKE SAMM PKWY NE APT D1",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525627",
            "telephone_number": "425-463-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEENAN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MASSAGE PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA60199222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "MA0199222",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthpoint (Healthpoint Redmond Pharmacy)
• Healthpoint
• Healthpoint (HealthPoint Redmond Medical)
• Heart to Heart RN Services
• Tania Heath, NP
• Aimee White Heffernan, LMFTA
• Douglas Peter Hein, BA,AAC
• Hemlock Health PLLC
• Lydia Hemmann, LMP
• Gia L Hemmen, MD

• Contractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.