STEPHANY RAE LUELLEN (NPI# 1538775564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538775564 |
| Entity Type | Individual |
| Full Name | STEPHANY RAE LUELLEN |
| Practice Address |
421 Tamarack Ave # 2 Carlsbad CA 92008-4128 |
| Mailing Address |
Po Box 4342 Carlsbad CA 92018-4342 |
| Practice Telephone | 8082126218 |
| Mailing Telephone | 8082126218 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 74367 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
421 TAMARACK AVE # 2 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| 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 |
|---|---|---|---|---|
| 1922657469 | Rinko Sato | Massage Therapist | 2973 Carlsbad Blvd, Carlsbad, CA 92008-2904 | 2019-09-07 |
| 1871064725 | Julie Celeste Arriola | Massage Therapist | 2753 Jefferson St, Carlsbad, CA 92008-1704 | 2018-12-17 |
| 1518480664 | Taryn Barnard | Massage Therapist | 6215 El Camino Real Ste 1-c, Carlsbad, CA 92009-1610 | 2017-07-20 |
| 1053643114 | Jolene Deciutiis | Massage Therapist | 2740 Roosevelt St, Carlsbad, CA 92008-2385 | 2010-01-31 |
| 1023348257 | Debra Simmons | Massage Therapist | 2302 Opal St, Carlsbad, NM 88220-3656 | 2010-01-11 |
| 1548597453 | Optimum Wellness Center | Massage Therapist | 630 Grand Ave Ste F, Carlsbad, CA 92008-2364 | 2009-11-13 |
| 1023624673 | Victoria Phipps | Massage Therapist | 2888 Loker Ave E Ste 110, Carlsbad, CA 92010-6683 | 2020-09-18 |
| 1609234020 | Cynthia B Reyes | Massage Therapist | 2221 Las Palmas Dr, Carlsbad, CA 92011-1528 | 2016-01-29 |
| 1699003012 | Duolan Brown | Massage Therapist | 630 Grand Ave Ste F, Carlsbad, CA 92008-2364 | 2009-11-23 |
| 1528204872 | Gwendolyn Rose Mcguire | Massage Therapist | 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 | 2008-12-16 |
| Find all providers in CARLSBAD | ||||
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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.