Individual provider Active NPI

Leilani Naomi Justiniano, CLMT

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1922713387
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0001781 Issued in CO
Practice address
5195 Shoshone St
Denver, CO 80221-1325
Phone
(303) 330-7141
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 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 0001781 CO Primary

Addresses

Primary practice location

5195 Shoshone St
Denver, CO 80221-1325

Mailing address

5195 Shoshone St
Denver, CO 80221-1325
Phone (303) 330-7141

Other identifiers 1

IdentifierTypeStateIssuer
OTHEROtherCOOTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL llcoolbarber@gmail.com Other

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
0001781COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1922713387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 SHOSHONE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211325",
            "telephone_number": "303-330-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5195 SHOSHONE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211325",
            "telephone_number": "303-330-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINIANO",
        "first_name": "LEILANI",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "CLMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0001781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "OTHER",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "llcoolbarber@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "llcoolbarber@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "5195 Shoshone St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802211325",
            "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 Jan 19, 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.