Active NPI
Rhiannon M Leatherwood
- Massage Therapist
- Fountain, CO
National Provider Identifier
1174149009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0015660
- Practice address
- 715 Dale St
Fountain, CO 80817-1736 - Phone
- (719) 388-3704
- NPI assigned
- Jun 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0015660 | CO | Primary |
Addresses
Primary practice location
715 Dale St
Fountain, CO 80817-1736
Mailing address
6758 Cottonwood Tree Dr
Colorado Springs, CO 80927-4062
Phone (719) 388-3704
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | hotyogaatindigo@gmail.com | Direct |
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 |
|---|---|---|---|
| 0015660 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1174149009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6758 COTTONWOOD TREE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809274062",
"telephone_number": "719-388-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 DALE ST",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171736",
"telephone_number": "719-388-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERWOOD",
"first_name": "RHIANNON",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0015660",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "hotyogaatindigo@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "715 Dale St",
"city": "Fountain",
"state": "CO",
"country_code": "US",
"postal_code": "808171736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fountain, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.