Active NPI
De Ayn Jackson Curtis, LMT LICENSED MASSAGE
- Massage Therapist
- Rowe, NM
National Provider Identifier
1134215965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 825
- Practice address
- #1 Mesa Baja
Rowe, NM 87562 - Phone
- (505) 757-3601
- NPI assigned
- Oct 5, 2006
- 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 | 825 | NM | Primary |
Addresses
Primary practice location
#1 Mesa Baja
Rowe, NM 87562
Mailing address
PO Box 195
Rowe, NM 87562
Phone (505) 757-3601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02214517006 | Other | NM | TAXATION AND REVENUE DEPT |
| 00R56M | Other | NM | BLUE CROSS BLUE SHIELD NM |
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 |
|---|---|---|---|
| 825 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134215965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195",
"city": "ROWE",
"state": "NM",
"postal_code": "87562",
"telephone_number": "505-757-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 MESA BAJA",
"city": "ROWE",
"state": "NM",
"postal_code": "87562",
"telephone_number": "505-757-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "DE AYN",
"middle_name": "JACKSON",
"name_prefix": "Mrs.",
"credential": "LMT LICENSED MASSAGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXATION AND REVENUE DEPT",
"identifier": "02214517006",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NM",
"identifier": "00R56M",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.