Lisa Nicole Heinecke, RN, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0022615 Issued in CO

Practice address

2524 W Colorado Ave Ste 205
Colorado Springs, CO 80904-6016

Phone

(719) 257-3177

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• The Knot Nurse LLC

  • Massage Therapist
  • Colorado Springs, CO
  • NPI 1871317685
  NPD Authorized official

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1861198509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 W KIOWA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043445",
            "telephone_number": "719-257-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 W COLORADO AVE STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809046016",
            "telephone_number": "719-257-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINECKE",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "credential": "RN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0022615",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1626334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle E Heimer, R.PH.
• Cassaundra Ann Hein
• Kathleen Marie Hein, RN,BSN
• Moriah Hein
• William F Hein, DC
• Madeline Heinen
• Patricia Margarita Heiner, MA, NCC, LPC
• Becca Heiniger
• Mia Heiniger
• Dianne Heinlen

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.