Individual provider Active NPI

Elizabeth Marie Risner

  • Massage Therapist
  • Walnut Creek, CA
National Provider Identifier
1447719331
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
39532 Issued in CA
Practice address
130 La Casa Via Ste 110
Walnut Creek, CA 94598-3047
Phone
(925) 476-5379
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 39532 CA Primary

Addresses

Primary practice location

130 La Casa Via Ste 110
Walnut Creek, CA 94598-3047

Mailing address

8132 Walnut Grove CT
Oakley, CA 94561
Phone (650) 740-5137

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://app.kareo.com/login-ui/#/login

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

LicenseStateTypeSpecialty
39532CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1447719331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 WALNUT GROVE CT",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "94561",
            "telephone_number": "650-740-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983047",
            "telephone_number": "925-476-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "39532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://app.kareo.com/login-ui/#/login",
            "affiliation": "N",
            "address_1": "130 La Casa Via Ste 110",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945983047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.