Individual provider Active NPI

Nancy Huckeby-Gonzalez, MASSAGE THERAPIST

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1265949036
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0014624 Issued in CO
Practice address
2570 S Colorado Blvd
Denver, CO 80222-5909
Phone
(720) 277-7018
Fax
(720) 277-7018
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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 MT.0014624 CO Primary

Addresses

Primary practice location

2570 S Colorado Blvd
Denver, CO 80222-5909

Mailing address

7446 Indian Wells Way
Lone Tree, CO 80124-4211
Phone (571) 449-1779

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
MT.0014624COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1265949036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 INDIAN WELLS WAY",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801244211",
            "telephone_number": "571-449-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225909",
            "telephone_number": "720-277-7018",
            "fax_number": "720-277-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKEBY-GONZALEZ",
        "first_name": "NANCY",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0014624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.