Active NPI
Lauren Moore, LMT, NTS, NASM-CPT
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1174237069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8720
- Practice address
- 2501 San Pedro Dr NE Ste 117
Albuquerque, NM 87110-4156 - Phone
- (505) 209-7203
- NPI assigned
- Jan 6, 2023
- 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 | 8720 | NM | Primary |
Addresses
Primary practice location
2501 San Pedro Dr NE Ste 117
Albuquerque, NM 87110-4156
Mailing address
1205 6TH St NW
Albuquerque, NM 87102-1337
Phone (505) 280-3213
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 |
|---|---|---|---|
| 8720 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1174237069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 6TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021337",
"telephone_number": "505-280-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 SAN PEDRO DR NE STE 117",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104156",
"telephone_number": "505-209-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LAUREN",
"credential": "LMT, NTS, NASM-CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "8720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.