Medicine Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MEDICINE MASSAGE

Practice address

3809 Atrisco Dr NW
Albuquerque, NM 87120-4902

Phone

(505) 615-3487

Fax

(505) 352-8966

NPI assigned

Feb 18, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Black, LMT, MMPNPI 1376872754

Title

Owner

Phone

(505) 615-3487

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer A Black

  • Massage Therapist
  • Albuquerque, NM
  • NPI 1376872754
  NPD (past) Authorized official

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1629318399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 ATRISCO DR NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204902",
            "telephone_number": "505-615-3487",
            "fax_number": "505-352-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 ATRISCO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204902",
            "telephone_number": "505-615-3487",
            "fax_number": "505-352-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-615-3487",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Staffing Network, Inc.
• Medical Support Services Inc
• Medical Whisperer Janet L Blanchard MD Internal Medicine Consultantllc
• Jacqueline Medici
• Medicine at Downtown LTD.
• Medify Drop LLC
• Dulce A Medina Bustillos, LCSW
• Dalia M Medina-Bustillos, MSW
• Bianca Ann Medina, LSAA, CNA, RMA
• Celestina Medina, L.M.T

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.