Active NPI
Lauren Nebbergall
- Massage Therapist
- Fort Collins, CO
National Provider Identifier
1184101719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0010638
- Practice address
- 1918 S Lemay Ave Ste a
Fort Collins, CO 80525-1295 - Phone
- (970) 286-0033
- Fax
- (970) 221-0982
- NPI assigned
- Jul 26, 2018
- Last updated
- Jul 26, 2018
- 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 | MT.0010638 | CO | Primary |
Addresses
Primary practice location
1918 S Lemay Ave Ste a
Fort Collins, CO 80525-1295
Mailing address
4012 Dublin Dr
Laporte, CO 80535-9386
Phone (303) 960-9506
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.0010638 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1184101719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 DUBLIN DR",
"city": "LAPORTE",
"state": "CO",
"postal_code": "805359386",
"telephone_number": "303-960-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 S LEMAY AVE STE A",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251295",
"telephone_number": "970-286-0033",
"fax_number": "970-221-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBBERGALL",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0010638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.