Active NPI
Carlee Craig, LMT
- Massage Therapist
- Pueblo, CO
National Provider Identifier
1407411341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0020482
- Practice address
- 111 W Evans Ave
Pueblo, CO 81004-4215 - Phone
- (719) 542-1000
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 | MT.0020482 | CO | Primary |
Addresses
Primary practice location
111 W Evans Ave
Pueblo, CO 81004-4215
Mailing address
2 Prince Valley CT
Pueblo, CO 81005-2140
Phone (719) 251-6855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O658061 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carlee-craig@hotmail.com | Direct |
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 |
|---|---|---|---|
| MT.0020482 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Trujillo, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20957/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1548761430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1407411341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PRINCE VALLEY CT",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052140",
"telephone_number": "719-251-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W EVANS AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810044215",
"telephone_number": "719-542-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "CARLEE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0020482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O658061",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carlee-craig@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Prince Valley Ct",
"city": "Pueblo",
"state": "CO",
"country_code": "US",
"postal_code": "810052140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.