Active NPI
Michelle Renese Morris
- Massage Therapist
- Lancaster, CA
National Provider Identifier
1336493154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 37598
- Practice address
- 1756 W Avenue J12 Apt 205
Lancaster, CA 93534-4654 - Phone
- (661) 670-4631
- NPI assigned
- Oct 31, 2012
- Last updated
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 37598 | CA | Primary |
Addresses
Primary practice location
1756 W Avenue J12 Apt 205
Lancaster, CA 93534-4654
Mailing address
25876 The Old Rd # 91
Stevenson Ranch, CA 91381-1711
Phone (661) 492-3757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37598 | Other | CA | CALIF MASSAGE THERAPY COUNCIL |
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 |
|---|---|---|---|
| 37598 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1336493154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25876 THE OLD RD # 91",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811711",
"telephone_number": "661-492-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 W AVENUE J12 APT 205",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344654",
"telephone_number": "661-670-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MICHELLE",
"middle_name": "RENESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "37598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF MASSAGE THERAPY COUNCIL",
"identifier": "37598",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.