Stephanie Fanning

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2632 Issued in NM

Practice address

3211 Monte Vista Blvd NE
Albuquerque, NM 87106-2119

Phone

(505) 268-3520

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205996857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ADAMS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062119",
            "telephone_number": "505-268-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "2632",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26903318",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Fancovic
• Monthida Fangtham
• Brianna Fank, LCSW
• Michael J Fanning, D.D.S., M.S.D.
• Rachel Harms Fanning, DDS
• Brian Farfan Ramirez
• Jordan Farfan
• Nawid Farhad, PHARMD
• Negina Farhad, PHARMD
• David Lee Farley, D.D.S.

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.