Active NPI
Vicki M Spear, LMT
- Massage Therapist
- Aztec, NM
National Provider Identifier
1376711663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5855
- Practice address
- 1415 W Aztec Blvd
Ste 4
Aztec, NM 87410-1868 - Phone
- (505) 793-0079
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- 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 | 5855 | NM | Primary |
Addresses
Primary practice location
1415 W Aztec Blvd
Ste 4
Aztec, NM 87410-1868
Mailing address
16 Road 2685
Aztec, NM 87410-9737
Phone (505) 793-0079
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 |
|---|---|---|---|
| 5855 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1376711663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROAD 2685",
"city": "AZTEC",
"state": "NM",
"postal_code": "874109737",
"telephone_number": "505-793-0079",
"fax_number": "505-334-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W AZTEC BLVD",
"address_2": "STE 4",
"city": "AZTEC",
"state": "NM",
"postal_code": "874101868",
"telephone_number": "505-793-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "VICKI",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "5855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.