Active NPI
Lisa M Gagnon, LMT
- Massage Therapist
- Wailuku, HI
National Provider Identifier
1598099434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8003
- Practice address
- 2114 Church St
Iao Acupuncture & Spa
Wailuku, HI 96793 - Phone
- (808) 249-8280
- Fax
- (808) 249-8947
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 8003 | HI | Primary |
Addresses
Primary practice location
2114 Church St
Iao Acupuncture & Spa
Wailuku, HI 96793
Mailing address
P.O. Box 790733
Paia, HI 96779
Phone (808) 250-3809
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1598099434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 790733",
"city": "PAIA",
"state": "HI",
"postal_code": "96779",
"telephone_number": "808-250-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 CHURCH ST",
"address_2": "IAO ACUPUNCTURE & SPA",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96793",
"telephone_number": "808-249-8280",
"fax_number": "808-249-8947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "8003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.