Essie Marie Quiroa, C.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C94309696716 Issued in MN

Practice address

2937 Lyndale Ave S Ste 201
Minneapolis, MN 55408-2177

Phone

(612) 879-8000

Fax

(612) 879-8778

NPI assigned

Mar 29, 2010

Last updated

Aug 31, 2011By the provider in NPPES

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

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1407171994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082177",
            "telephone_number": "612-418-5895",
            "fax_number": "612-879-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082177",
            "telephone_number": "612-879-8000",
            "fax_number": "612-879-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROA",
        "first_name": "ESSIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "C.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "C94309696716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.