Active NPI
Dawn Elaine Rose Kirby, LMT
- Massage Therapist
- Rio Rancho, NM
National Provider Identifier
1144847872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT9486
- Practice address
- 1005 21St St SE
Rio Rancho, NM 87124-4030 - Phone
- (517) 282-7006
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT9486 | NM | Primary |
| Massage Therapist | 225700000X | MT.0021423 | CO |
Addresses
Primary practice location
1005 21St St SE
Rio Rancho, NM 87124-4030
Mailing address
1200A Calle Placitas
Bernalillo, NM 87004
Phone (517) 282-7006
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 |
|---|---|---|---|
| MT.0021423 | CO | MD | Massage Therapist |
| MT9486 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1144847872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200A CALLE PLACITAS",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "87004",
"telephone_number": "517-282-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 21ST ST SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244030",
"telephone_number": "517-282-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "DAWN",
"middle_name": "ELAINE ROSE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "MT9486",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0021423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.