Active NPI
Mara Lizette Weber, LMT,RMT
- Massage Therapist
- Rio Rancho, NM
National Provider Identifier
1235323783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1802
- Practice address
- 12 Unser Blvd SE
Suite J
Rio Rancho, NM 87124-6300 - Phone
- (505) 249-1511
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1802 | NM | Primary |
Addresses
Primary practice location
12 Unser Blvd SE
Suite J
Rio Rancho, NM 87124-6300
Mailing address
12 Unser Blvd SE
Suite J
Rio Rancho, NM 87124-6300
Phone (505) 249-1511
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 |
|---|---|---|---|
| 1802 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1235323783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 UNSER BLVD SE",
"address_2": "SUITE J",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246300",
"telephone_number": "505-249-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 UNSER BLVD SE",
"address_2": "SUITE J",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246300",
"telephone_number": "505-249-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MARA",
"middle_name": "LIZETTE",
"name_prefix": "Ms.",
"credential": "LMT,RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "1802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.