Active NPI
Rebecca Jean Waggoner, RMT
- Reflexologist
- Salida, CO
National Provider Identifier
1639452741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- 1592
- Practice address
- 345 E 1St St
Salida, CO 81201-2801 - Phone
- (719) 539-3465
- NPI assigned
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 1592 | CO | Primary |
Addresses
Primary practice location
345 E 1St St
Salida, CO 81201-2801
Mailing address
345 E 1St St
Salida, CO 81201-2801
Phone (719) 539-3465
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1592 | CO | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1639452741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E 1ST ST",
"city": "SALIDA",
"state": "CO",
"postal_code": "812012801",
"telephone_number": "719-539-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 1ST ST",
"city": "SALIDA",
"state": "CO",
"postal_code": "812012801",
"telephone_number": "719-539-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "REBECCA",
"middle_name": "JEAN",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "CO",
"license": "1592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.