Active NPI
Lea Wildflower, CMP
- Massage Therapist
- Santa Fe, NM
National Provider Identifier
1477077782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2024-0172
- Practice address
- 500 Rodeo Rd RM 4
Santa Fe, NM 87505-6378 - Phone
- (415) 320-3819
- NPI assigned
- Jul 28, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 22150 | CA | |
| Massage Therapist | 225700000X | 2024-0172 | NM | Primary |
Addresses
Primary practice location
500 Rodeo Rd RM 4
Santa Fe, NM 87505-6378
Mailing address
941 Calle Mejia Apt 511
Santa Fe, NM 87501-1464
Phone (415) 320-3819
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22150 | Other | CA | CAMTC |
| MT20240172 | Other | NM | STATE |
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 |
|---|---|---|---|
| 2024-0172 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1477077782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 CALLE MEJIA APT 511",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011464",
"telephone_number": "415-320-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RODEO RD RM 4",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056378",
"telephone_number": "415-320-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDFLOWER",
"first_name": "LEA",
"name_prefix": "Ms.",
"credential": "CMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "22150",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "2024-0172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAMTC",
"identifier": "22150",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "MT20240172",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.