Alissa Jeanette Greenwood, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25017 Issued in CA

Practice address

1301 Farmers LN Ste 302
Santa Rosa, CA 95405-6745

Phone

(707) 536-1147

NPI assigned

Aug 2, 2019

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

Other names 1

• Alissa Jeanette Dann Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1972158301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 WOODSAGE WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954047030",
            "telephone_number": "707-328-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FARMERS LN STE 302",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056745",
            "telephone_number": "707-536-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "ALISSA",
        "middle_name": "JEANETTE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "25017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alissa@mpoweredlivingmassage.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "E-mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "1301 Farmers Ln Ste 302",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954056745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "DANN",
            "middle_name": "JEANETTE",
            "credential": "CMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel J Greenfield, M.D.
• James Greenlee, NP
• Aleta Greenspan
• Stephanie Mayumi Greenspan
• Tracy Ann Greenwald-Brown
• Michele Renee Shrock Greenwood, CRNA
• Heather Marie Greer, MA, MFTI
• Greg Mlynarczyk DDS., Inc
• Edward Jean Gregoire Jr., MD
• Courtney Marie Gregory, RN, IBCLC

• Massage Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.