Tiyler Lisa Brice

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

120993 Issued in TX

Practice address

1308 Orchid Dr Apt a
Princeton, TX 75407-1159

Phone

(214) 228-2929

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1639828767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N CENTRAL EXPY UNIT 524",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700027",
            "telephone_number": "214-228-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ORCHID DR APT A",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754071159",
            "telephone_number": "214-228-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "TIYLER",
        "middle_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "120993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "000-00-0000",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Mckinney",
            "affiliation": "N",
            "address_1": "550 N Central Expy Unit 524",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750700027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Branst50@gmail.com",
            "affiliation": "N",
            "address_1": "550 N Central Expy Unit 524",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750700027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Princeton, TX
• Providers in Princeton, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.