Individual provider Active NPI

Lisa Lynn Angliss

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1467754440
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4257 Issued in CO
Practice address
600 Grant St
Suite 350
Denver, CO 80203-3524
Phone
(303) 309-6704
Fax
(720) 287-3432
NPI assigned
Nov 24, 2010
Last updated
Nov 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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 4257 CO Primary

Addresses

Primary practice location

600 Grant St
Suite 350
Denver, CO 80203-3524

Mailing address

1820 Newland CT Apt 317
Lakewood, CO 80214-1486
Phone (970) 403-7481

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
4257COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1467754440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 NEWLAND CT APT 317",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141486",
            "telephone_number": "970-403-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "address_2": "SUITE 350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033524",
            "telephone_number": "303-309-6704",
            "fax_number": "720-287-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLISS",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.