Victoria Serna, L.M.T

Primary specialty

ContractorTaxonomy code 171W00000X

License

MT.008324 Issued in CO

Practice address

820 Castle Valley Blvd Ste 210
New Castle, CO 81647-9453

Phone

(970) 989-8702

Fax

(970) 984-3198

NPI assigned

Jan 21, 2016

Last updated

Jan 21, 2016By 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

Other identifiers 1

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1518324698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 COUNTY ROAD 335",
            "address_2": "TRLR 26",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479663",
            "telephone_number": "970-989-8702",
            "fax_number": "970-984-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CASTLE VALLEY BLVD STE 210",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479453",
            "telephone_number": "970-989-8702",
            "fax_number": "970-984-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "VICTORIA",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CO",
            "license": "MT.008324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "MT.0008324",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Contractor in New Castle, CO
• Providers in New Castle, CO by specialty
• Contractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.