Active NPI
Ronda Lee Harris, RN LMT
- Massage Therapist
- Des Moines, IA
National Provider Identifier
1205049004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 00999
- Practice address
- 2913 Ingersoll Ave
Des Moines, IA 50312-4014 - Phone
- (515) 710-5930
- Fax
- (515) 274-8732
- NPI assigned
- May 8, 2007
- 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 | 00999 | IA | Primary |
Addresses
Primary practice location
2913 Ingersoll Ave
Des Moines, IA 50312-4014
Mailing address
2913 Ingersoll Ave
Des Moines, IA 50312-4014
Phone (515) 710-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00999 | Other | IA | IA DEPT PUBLIC HEALTH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00999 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205049004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 INGERSOLL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124014",
"telephone_number": "515-710-5930",
"fax_number": "515-274-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 INGERSOLL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124014",
"telephone_number": "515-710-5930",
"fax_number": "515-274-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RONDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "RN LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IA",
"license": "00999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA DEPT PUBLIC HEALTH",
"identifier": "00999",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.