Lisa Sullivan, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60139499 Issued in WA

Practice address

748 Winslow Way E
Bainbridge Island, WA 98110-2410

Phone

(206) 842-2702

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

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.

• Eagle Harbor Chiropractic Inc.P.S.

  • Chiropractor
  • Bainbridge Island, WA
  • NPI 1477684231

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1649597857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 NE SOUTH BEACH DR",
            "address_2": "UNIT #3G",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104822",
            "telephone_number": "206-718-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 WINSLOW WAY E",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102410",
            "telephone_number": "206-842-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LISA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60139499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L. Stranahan, MA, LMHC
• Debra Ann Strickland, LMHCA
• Linne Stringer
• Maya Subbukumar, M.SC., CCC, SLP
• Stacy Marie Sugg
• Dora Summers-Ewing, PH.D
• Summit Eye Consultants PLLC (Summit Eye Consultants)
• Jessica Dawn Sumsky, RN
• Sunbreak Psychiatry, PLLC
• Edward Kenneth Surridge, LMFT

• Massage Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.