Individual provider Active NPI

Kathleen Guiles, LMT, RN

  • Massage Therapist
  • Santa Fe, NM
National Provider Identifier
1548540784
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5318 Issued in NM
Practice address
1532 Cerrillos Rd
Suite C
Santa Fe, NM 87505-3512
Phone
(505) 986-9109
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R36964 NM
Massage Therapist 225700000X 5318 NM Primary

Addresses

Primary practice location

1532 Cerrillos Rd
Suite C
Santa Fe, NM 87505-3512

Mailing address

14 Ravens Ridge TRL
Santa Fe, NM 87505-9203
Phone (505) 989-7635

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R36964NMMDRegistered Nurse
5318NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lotus Health Essentials, Inc. PastSince Apr 21, 2014 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, 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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1548540784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RAVENS RIDGE TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875059203",
            "telephone_number": "505-989-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "505-986-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILES",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LMT, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R36964",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.