Individual provider Active NPI

Desiree Samantha Fernandez, LMT

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1639976236
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-2024-0277 Issued in NM
Practice address
661 Quantum Rd NE Ste 6
Albuquerque, NM 87124-4505
Phone
(915) 262-3930
NPI assigned
Mar 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 MT-2024-0277 NM Primary

Addresses

Primary practice location

661 Quantum Rd NE Ste 6
Albuquerque, NM 87124-4505

Mailing address

7615 Prairie Falcon Ave NW
Albuquerque, NM 87114-4435
Phone (915) 262-3930

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
MT-2024-0277NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening Oasis LLC Massage Therapist Past Accepting new patients

Organizations & group practices 1

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": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1639976236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 PRAIRIE FALCON AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144435",
            "telephone_number": "915-262-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 QUANTUM RD NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871244505",
            "telephone_number": "915-262-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DESIREE",
        "middle_name": "SAMANTHA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT-2024-0277",
            "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 Apr 22, 2026; 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.