Active NPI
Angelle St. Pierre, LMT
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1669618351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4377
- Practice address
- 1719 Girard Blvd NE
Albuquerque, NM 87106-1718 - Phone
- (505) 265-3400
- Fax
- (505) 265-3404
- NPI assigned
- Dec 30, 2008
- Last updated
- Dec 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4377 | NM | Primary |
Addresses
Primary practice location
1719 Girard Blvd NE
Albuquerque, NM 87106-1718
Mailing address
1719 Girard Blvd NE
Albuquerque, NM 87106-1718
Phone (505) 265-3400
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 |
|---|---|---|---|
| 4377 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Specialist
- Albuquerque, NM
- NPI 1245495266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1669618351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 GIRARD BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061718",
"telephone_number": "505-265-3400",
"fax_number": "505-265-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 GIRARD BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061718",
"telephone_number": "505-265-3400",
"fax_number": "505-265-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. PIERRE",
"first_name": "ANGELLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "4377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- St. Martin's
- St. Martin's Hospitality Center
- St. Martin's Hospitality Center
- St. Martin's Hospitality Center
- St. Martin's Hospitality Center
- Jason Allen St. Pierre, MSPT
- St. Theresa Healthcare and Rehabilitation Center, LLC (St. Theresa Healthcare and Rehabilitation Center)
- Danielle Nicole St.Amand, M.S., CCC-SLP
- James N St.John, MD
- Tashanya Marie St.Onge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.