Active NPI
Elizabeth Ann Monroe, LMT, LME
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1548779069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60735426
- Practice address
- 11105 NE 14TH St Ste 103
Vancouver, WA 98684-4309 - Phone
- (971) 204-8772
- NPI assigned
- Sep 27, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60735426 | WA | Primary |
Addresses
Primary practice location
11105 NE 14TH St Ste 103
Vancouver, WA 98684-4309
Mailing address
11105 NE 14TH St Ste 103
Vancouver, WA 98684-4309
Phone (971) 204-8772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60735426 | Other | WA | MASSAGE THERAPIST |
| 22624 | Other | OR | MASSAGE THERAPIST |
Other names 1
- Lisette Monroe
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 |
|---|---|---|---|
| MA60735426 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1548779069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11105 NE 14TH ST STE 103",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844309",
"telephone_number": "971-204-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11105 NE 14TH ST STE 103",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844309",
"telephone_number": "971-204-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMT, LME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60735426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "60735426",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "22624",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISETTE",
"last_name": "MONROE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.