LYDIA-CARLIE TILUS (NPI# 1265909592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265909592 |
| Entity Type | Individual |
| Full Name | LYDIA-CARLIE TILUS |
| Practice Address |
80 Gilman Ave Ste 2d Campbell CA 95008-3013 |
| Mailing Address |
488 Terrace Ave Moss Beach CA 94038-9671 |
| Practice Telephone | 4242603691 |
| Mailing Telephone | 9097586248 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 41590 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 374J00000X | Doula | CA | Nursing Service Related Providers |
| Street Address |
80 GILMAN AVE STE 2D |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040545 | Xianghong Li | Massage Therapist | 2105 Winchester Blvd # 10, Campbell, CA 95008-3445 | 2020-10-11 |
| 1790392173 | Candice Stevensen | Massage Therapist | 116 E Campbell Ave Ste 5, Campbell, CA 95008-2048 | 2020-09-29 |
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1700198785 | Racquel Logan | Massage Therapist | 653 E Campbell Ave Ste 5, Campbell, CA 95008-2143 | 2010-07-08 |
| 1326362971 | Vanessa Michele Horner | Massage Therapist | 653 E Campbell Ave, Sutie 5, Campbell, CA 95008-2143 | 2010-03-24 |
| 1205440849 | Anna Beltran | Massage Therapist | 116 E Campbell Ave Ste 7, Campbell, CA 95008-2048 | 2020-09-01 |
| 1134732316 | Marguerite Grace Camacho | Massage Therapist | 420 Marathon Dr, Campbell, CA 95008-0918 | 2020-08-26 |
| 1255801528 | Lori Ann Robinson | Massage Therapist | 653 E Campbell Ave Ste 5, Campbell, CA 95008-2143 | 2018-11-29 |
| 1184112617 | Kelly Christine Zimmerman | Massage Therapist | 621 E Campbell Ave Ste 11b, Campbell, CA 95008-2136 | 2018-04-30 |
| 1952816738 | David J Stevens | Massage Therapist | 116 E Campbell Ave Ste 7, Campbell, CA 95008-2048 | 2017-12-03 |
| Find all providers in CAMPBELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.