Active NPI
Denise Elizabeth Bolanos, LMT
- Massage Therapist
- Henderson, NV
National Provider Identifier
1336569508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NVMT.6185
- Practice address
- 6301 Mountain Vista Street
Suite 208
Henderson, NV 89014-2366 - Phone
- (702) 810-0082
- NPI assigned
- Apr 25, 2014
- Last updated
- Nov 4, 2024
- 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 | NVMT.6185 | NV | Primary |
Addresses
Primary practice location
6301 Mountain Vista Street
Suite 208
Henderson, NV 89014-2366
Mailing address
6301 Mountain Vista Street
Suite 208
Henderson, NV 89014-2366
Phone (702) 810-0082
Other names 1
- Denise E Willer
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 |
|---|---|---|---|
| NVMT.6185 | NV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Ask Denise LLC | Massage Therapist | Current | Accepting new patients |
Locations
6301 Mountain Vista St
Ste 208
Henderson, NV 89014
Phone (702) 810-0082
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1336569508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 MOUNTAIN VISTA STREET",
"address_2": "SUITE 208",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142366",
"telephone_number": "702-810-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 MOUNTAIN VISTA STREET",
"address_2": "SUITE 208",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142366",
"telephone_number": "702-810-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLANOS",
"first_name": "DENISE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "NVMT.6185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "WILLER",
"middle_name": "E",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.