Active NPI
Eve Lucia Boucouvalas, LMT
- Massage Therapist
- Greenland, NH
National Provider Identifier
1346993870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8088
- Practice address
- 13 March Farm Way Unit C
Greenland, NH 03840-6235 - Phone
- (603) 380-7174
- NPI assigned
- Feb 3, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Health Educator | 174H00000X | MT6621 | ME | |
| Massage Therapist | 225700000X | MT6621 | ME | |
| Personal Care Attendant | 3747P1801X | ME | ||
| Massage Therapist | 225700000X | 8088 | NH | Primary |
Addresses
Primary practice location
13 March Farm Way Unit C
Greenland, NH 03840-6235
Mailing address
24 Glenhaven Cir E
Saco, ME 04072-2222
Phone (207) 300-7733
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 |
|---|---|---|---|
| MT6621 | ME | MD | Massage Therapist |
| 8088 | NH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ka Lani LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Greenland, NH
- NPI 1689164576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1346993870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GLENHAVEN CIR E",
"city": "SACO",
"state": "ME",
"postal_code": "040722222",
"telephone_number": "207-300-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MARCH FARM WAY UNIT C",
"city": "GREENLAND",
"state": "NH",
"postal_code": "038406235",
"telephone_number": "603-380-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCOUVALAS",
"first_name": "EVE",
"middle_name": "LUCIA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "ME",
"license": "MT6621",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT6621",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "ME",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NH",
"license": "8088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenland, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.