Active NPI
Laura Elizabeth Palmer, CMT
- Massage Therapist
- Santa Rosa, CA
National Provider Identifier
1083250518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 68840
- Practice address
- 1210 Sonoma Ave
Santa Rosa, CA 95405-6648 - Phone
- (707) 798-0989
- Fax
- (707) 573-5430
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 68840 | CA | Primary |
Addresses
Primary practice location
1210 Sonoma Ave
Santa Rosa, CA 95405-6648
Mailing address
1210 Sonoma Ave
Santa Rosa, CA 95405-6648
Phone (707) 798-0989
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 |
|---|---|---|---|
| 68840 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1083250518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056648",
"telephone_number": "707-798-0989",
"fax_number": "707-573-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056648",
"telephone_number": "707-798-0989",
"fax_number": "707-573-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "68840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.