Individual provider Active NPI

Victoria Koo, DOM, LMT

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1689009896
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1215 Issued in NM
Practice address
3900 Juan Tabo Blvd NE Ste 5
Albuquerque, NM 87111-3978
Phone
(505) 359-1608
NPI assigned
Sep 6, 2013
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1215 NM Primary
Massage Therapist 225700000X 7593 NM

Addresses

Primary practice location

3900 Juan Tabo Blvd NE Ste 5
Albuquerque, NM 87111-3978

Mailing address

3900 Juan Tabo Blvd NE Ste 5
Albuquerque, NM 87111-3978
Phone (505) 359-1608

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
1215NMMDAcupuncturist
7593NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1689009896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUAN TABO BLVD NE STE 5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113978",
            "telephone_number": "505-359-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUAN TABO BLVD NE STE 5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113978",
            "telephone_number": "505-359-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "VICTORIA",
        "credential": "DOM, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1215",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "7593",
            "primary": false
        }
    ],
    "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 Sep 3, 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.