Individual provider Active NPI

Melissa Elizabeth Alverson, L.M.T., CMNTPT

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1639378243
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2679 Issued in NM
Practice address
8328 Wild Dunes Rd NW
Albuquerque, NM 87120-3783
Phone
(505) 306-4403
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 2679 NM Primary

Addresses

Primary practice location

8328 Wild Dunes Rd NW
Albuquerque, NM 87120-3783

Mailing address

8328 Wild Dunes Rd NW
Albuquerque, NM 87120-3783
Phone (505) 306-4403

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
2679NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Wellnes Center Past Accepting new patients
A & M Enterprises, Inc. Dba Full Circle Wellness Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1639378243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 WILD DUNES RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203783",
            "telephone_number": "505-306-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 WILD DUNES RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203783",
            "telephone_number": "505-306-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVERSON",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.M.T., CMNTPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.