Active NPI
Amelia Page Stickney, LMT
- Massage Therapist
- Santa Fe, NM
National Provider Identifier
1689011769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6401
- Practice address
- 1348 Pacheco St
St. #206
Santa Fe, NM 87505-4222 - Phone
- (505) 988-2449
- NPI assigned
- May 29, 2013
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6401 | NM | Primary |
Addresses
Primary practice location
1348 Pacheco St
St. #206
Santa Fe, NM 87505-4222
Mailing address
1023 Calle la Resolana
Santa Fe, NM 87507-5112
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 |
|---|---|---|---|
| 6401 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grasshopper Natural Medicine | 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.
-
- Primary Care Nurse Practitioner
- Santa Fe, NM
- NPI 1194908277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1689011769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 CALLE LA RESOLANA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875075112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 PACHECO ST",
"address_2": "ST. #206",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054222",
"telephone_number": "505-988-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKNEY",
"first_name": "AMELIA",
"middle_name": "PAGE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "6401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.