Individual provider Active NPI

Rayna Cruz Telles, LMT

  • Massage Therapist
  • Las Cruces, NM
National Provider Identifier
1538522925
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8196 Issued in NM
Practice address
225 E Idaho Ave Ste 7
Las Cruces, NM 88005-3241
Phone
(575) 386-2069
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 8196 NM Primary

Addresses

Primary practice location

225 E Idaho Ave Ste 7
Las Cruces, NM 88005-3241

Mailing address

1618 High St
Las Cruces, NM 88011-4876
Phone (575) 386-2069

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
8196NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1538522925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HIGH ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114876",
            "telephone_number": "575-386-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE STE 7",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053241",
            "telephone_number": "575-386-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ TELLES",
        "first_name": "RAYNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "8196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.