Marquita Herrera
Individual provider Active NPI Massage Therapist · Los Ranchos, NM
NPI 1497583652 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1497583652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-2024-0151 (NM)
- Practice address
- 7013 4TH St NW Ste E
Los Ranchos, NM 87107-6639 - Phone
- (505) 977-9340
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-2024-0151 | NM | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-2024-0151 | NM | Yes |
Addresses
Primary practice location
7013 4TH St NW Ste E
Los Ranchos, NM 87107-6639
Mailing address
7013 4TH St NW Ste E
Los Ranchos, NM 87107-6639
Phone (505) 977-9340
NPI Registry JSON
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1497583652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7013 4TH ST NW STE E",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871076639",
"telephone_number": "505-977-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7013 4TH ST NW STE E",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871076639",
"telephone_number": "505-977-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MARQUITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "MT-2024-0151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Ranchos, NM
- Jodie L Hart
- Hayley Hathaway
- Robin Hayter
- Mallory Hemerlein
- Alisa Henning
- Higher Health and Wellness LLC
- Mikaele Irene Hill Rowe
- Stephanie Hofner
- Hot Rocks Psychotherapy Group
- I Care Enterprises LLC
All providers in Los Ranchos, NM · Massage Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.