Active NPI
Janet Willie, L.P.N., L.M.T.
- Massage Therapist
- Bethel, ME
National Provider Identifier
1962830323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT9
- Practice address
- 18 High St
Bethel, ME 04217 - Phone
- (207) 824-3889
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN13076 | ME | |
| Massage Therapist | 225700000X | MT9 | CO | Primary |
| Health Educator | 174H00000X | MT9 | CO |
Addresses
Primary practice location
18 High St
Bethel, ME 04217
Mailing address
PO Box 944
18 High Street
Bethel, ME 04217-0944
Phone (207) 824-3889
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 |
|---|---|---|---|
| LPN13076 | ME | MD | Licensed Practical Nurse |
| MT9 | CO | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1962830323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 944",
"address_2": "18 HIGH STREET",
"city": "BETHEL",
"state": "ME",
"postal_code": "042170944",
"telephone_number": "207-824-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HIGH ST",
"city": "BETHEL",
"state": "ME",
"postal_code": "04217",
"telephone_number": "207-824-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIE",
"first_name": "JANET",
"credential": "L.P.N., L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "ME",
"license": "LPN13076",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT9",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CO",
"license": "MT9",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.