Individual provider Active NPI

Donnell Achziger, LMT

  • Massage Therapist
  • Greeley, CO
National Provider Identifier
1487209763
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1348605 Issued in CO
Practice address
2030 35TH Ave Ste B
Greeley, CO 80634-3944
Phone
(970) 330-3554
Fax
(970) 301-4678
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1348605 CO Primary

Addresses

Primary practice location

2030 35TH Ave Ste B
Greeley, CO 80634-3944

Mailing address

2030 35TH Ave Ste B
Greeley, CO 80634-3944
Phone (970) 330-3554

Other identifiers 1

IdentifierTypeStateIssuer
920337728OtherCOMASSAGE THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Greeley Other

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

LicenseStateTypeSpecialty
1348605COMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1487209763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 35TH AVE STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343944",
            "telephone_number": "970-330-3554",
            "fax_number": "970-301-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 35TH AVE STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343944",
            "telephone_number": "970-330-3554",
            "fax_number": "970-301-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHZIGER",
        "first_name": "DONNELL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "1348605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "920337728",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greeley",
            "affiliation": "N",
            "endpointDescription": "Massage Spa",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GREELEY",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Greeley",
            "address_1": "2030 35th Ave Ste B",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806343944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.