Individual provider Active NPI

Lisa Mari Ruppaner, LMT

  • Massage Therapist
  • Santa Barbara, CA
National Provider Identifier
1770972242
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14883 Issued in CA
Practice address
533 E Micheltorena St
Ste 204
Santa Barbara, CA 93103-2200
Phone
(805) 560-6666
Fax
(805) 770-2020
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14883 CA Primary

Addresses

Primary practice location

533 E Micheltorena St
Ste 204
Santa Barbara, CA 93103-2200

Mailing address

1916 Elise Way
Apt a
Santa Barbara, CA 93109-1967
Phone (323) 252-6703

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

LicenseStateTypeSpecialty
14883CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holt Chiropractic in 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1770972242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 ELISE WAY",
            "address_2": "APT A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091967",
            "telephone_number": "323-252-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E MICHELTORENA ST",
            "address_2": "STE 204",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032200",
            "telephone_number": "805-560-6666",
            "fax_number": "805-770-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPANER",
        "first_name": "LISA",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "14883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.