Lisa Marie Kern, MT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4208 Issued in NM

Practice address

524 W Cordova Rd
Santa Fe, NM 87505-1822

Phone

(505) 316-6325

NPI assigned

May 19, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1407547300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CASA RUFINA RD UNIT 222",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078304",
            "telephone_number": "505-316-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051822",
            "telephone_number": "505-316-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "4208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Kenney, MD
• Joel Michael Kent, PA-C
• Kristin E Kenyon, CNP
• Eileen Kerem, CNP
• Candace Kern, PH.D.
• Anne Cecelia Kessler, M.D.
• Joan Kessler, SLP
• Joanne Kestenbaum, LMT
• Hillarie Keyser, CSW
• Keystone Womens Center LLC

• Massage Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.