Active NPI
Lisanne Olsen
- Massage Therapist
- Camano Island, WA
National Provider Identifier
1770968117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00014681
- Practice address
- 1143 Sr 532
Camano Island, WA 98282 - Phone
- (360) 629-2524
- Fax
- (360) 610-4979
- NPI assigned
- Jul 28, 2015
- Last updated
- Jul 28, 2015
- 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 | MA00014681 | WA | Primary |
Addresses
Primary practice location
1143 Sr 532
Camano Island, WA 98282
Mailing address
PO Box 1527
Stanwood, WA 98292-1527
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 |
|---|---|---|---|
| MA00014681 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Potential Chiropractic Inc. PS | Past | 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.
-
- Chiropractor
- Camano Island, WA
- NPI 1821250457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1770968117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1527",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982921527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 SR 532",
"city": "CAMANO ISLAND",
"state": "WA",
"postal_code": "98282",
"telephone_number": "360-629-2524",
"fax_number": "360-610-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "LISANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00014681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camano Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.