Active NPI
Anne Jeanne Bourgeat
- Massage Therapist
- Louisville, CO
National Provider Identifier
1801154679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12554
- Practice address
- 1148 West Dillon Road
Suite 1
Louisville, CO 80027 - Phone
- (303) 554-1600
- Fax
- (720) 328-8188
- NPI assigned
- Apr 30, 2012
- 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 | 12554 | CO | Primary |
Addresses
Primary practice location
1148 West Dillon Road
Suite 1
Louisville, CO 80027
Mailing address
1148 West Dillon Road
Suite 1
Louisville, CO 80027
Phone (303) 554-1600
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 |
|---|---|---|---|
| 12554 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1801154679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 WEST DILLON ROAD",
"address_2": "SUITE 1",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "80027",
"telephone_number": "303-554-1600",
"fax_number": "720-328-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 WEST DILLON ROAD",
"address_2": "SUITE 1",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "80027",
"telephone_number": "303-554-1600",
"fax_number": "720-328-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURGEAT",
"first_name": "ANNE",
"middle_name": "JEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "12554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.