Lisa Mroczenski, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60390836 Issued in WA

Practice address

11930 Slater Ave NE
201
Kirkland, WA 98034-4175

Phone

(425) 825-0255

NPI assigned

Sep 7, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Sun Massage & Skin Care, LLC

  • Massage Therapist
  • Kirkland, WA
  • NPI 1841526233
  NPD (past)
• Mountain Sun Massage & Spa, Inc

  • Specialist
  • Kirkland, WA
  • NPI 1811019334
  NPD (past)

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1942635040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S PEARL ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082335",
            "telephone_number": "414-940-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 SLATER AVE NE",
            "address_2": "201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344175",
            "telephone_number": "425-825-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROCZENSKI",
        "first_name": "LISA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-07",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60390836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Sun Massage & Skin Care, LLC
• Mountain Sun Massage & Spa, Inc
• Andrei Mousasticoshvily, ND. MSC. LAC
• Moving Forward Counseling and Consulting, LLC
• Sydney Mozer, DPT
• Moses L Msumba
• Mti Physical Therapy Kirkland
• Sharon Beverly Mueller, PA-C
• Connor R Muirhead
• Cotilda Patience Mukandoli

• Massage Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.