Individual provider Active NPI

Lisa Vasquez, LMT

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1861053795
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0016691 Issued in CO
Practice address
4155 E Jewell Ave Ste 225
Denver, CO 80222-4506
Phone
(720) 434-6016
NPI assigned
Jun 21, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 MT0016691 CO Primary

Addresses

Primary practice location

4155 E Jewell Ave Ste 225
Denver, CO 80222-4506

Mailing address

18503 E Harvard Dr
Aurora, CO 80013-6423
Phone (303) 369-6058

Other practice location 1

4155 E Jewell Ave Ste 225
Denver, CO 80222-4506
Phone (720) 434-6016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.providers.kaiserpermanente.org/cod/ Health Information Exchange (HIE)

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
MT0016691COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861053795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 E HARVARD DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136423",
            "telephone_number": "303-369-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE STE 225",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224506",
            "telephone_number": "720-434-6016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4155 E Jewell Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224506",
            "country_code": "US",
            "telephone_number": "720-434-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0016691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.providers.kaiserpermanente.org/cod/",
            "affiliation": "Y",
            "endpointDescription": "affiliate link",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Claim submission",
            "address_1": "4155 E Jewell Ave Ste 225",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802224506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.