Diane Vallejos McDaniel, LMT 5069

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

5069 Issued in NM

Practice address

6827 Glacier Rd NW
Albuquerque, NM 87114-3756

Phone

(505) 315-6328

NPI assigned

May 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diane Vallejos Professional name

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1336374172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 GLACIER RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143756",
            "telephone_number": "505-315-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 GLACIER RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143756",
            "telephone_number": "505-315-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "DIANE",
        "middle_name": "VALLEJOS",
        "name_prefix": "Ms.",
        "credential": "LMT 5069",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NM",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "VALLEJOS",
            "credential": "LMT 5069",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas E McCullough, M.D.
• McCurley Hearing Design LLC
• Dorothy Ellen McCurley, AUD
• Michael E McCutcheon, M.D.
• Emily McDanel, PHARMD
• Justine McDaniel
• Lance McDaniel, LMT
• Linda McDaniel, SW
• Nadine Marie McDaniel, SLP-CF
• Lisa A McDermeit, CCC-SLP

• Reflexologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Reflexologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.