Lisa Michelle Dauphinais

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

29029 Upper Bear Creek Rd
Evergreen, CO 80439-7738

Phone

(323) 794-4667

NPI assigned

Apr 16, 2022

Last updated

Apr 16, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1982347084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29029 UPPER BEAR CREEK RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397738",
            "telephone_number": "323-794-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29029 UPPER BEAR CREEK RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397738",
            "telephone_number": "323-794-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHINAIS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.osteopathicmanipulationcenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29029 Upper Bear Creek Rd",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804397738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; 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.