Individual provider Active NPI

Laura Catherine Jaramillo, MASSAGE THERAPIST

  • Massage Therapist
  • Greeley, CO
National Provider Identifier
1174897342
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5130 Issued in CO
Practice address
1120 38TH Ave
Suite 1
Greeley, CO 80634-2578
Phone
(970) 310-9474
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5130 CO Primary

Addresses

Primary practice location

1120 38TH Ave
Suite 1
Greeley, CO 80634-2578

Mailing address

1120 38TH Ave
Suite 1
Greeley, CO 80634-2578
Phone (970) 310-9474

Other names 1

  • Laura Catherine McDonald Former name

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

LicenseStateTypeSpecialty
5130COMDSports Physician Chiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1174897342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 38TH AVE",
            "address_2": "SUITE 1",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342578",
            "telephone_number": "970-310-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 38TH AVE",
            "address_2": "SUITE 1",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342578",
            "telephone_number": "970-310-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "LAURA",
        "middle_name": "CATHERINE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MCDONALD",
            "middle_name": "CATHERINE",
            "credential": "MASSAGE THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.