Active NPI
Deborah Sue Rodriguez, LMT
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1700439882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7866
- Practice address
- 5115 Coors Blvd NW Ste E
Albuquerque, NM 87120-1926 - Phone
- (505) 897-6560
- Fax
- (505) 715-5537
- NPI assigned
- Jul 18, 2019
- 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 | 7866 | NM | Primary |
Addresses
Primary practice location
5115 Coors Blvd NW Ste E
Albuquerque, NM 87120-1926
Mailing address
1012 El Paseo St NW
Rio Rancho, NM 87144-1410
Phone (925) 413-9916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000000 | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Albuquerque |
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 |
|---|---|---|---|
| 7866 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Acupuncture, Inc | Single Specialty | Current | Accepting new patients |
Locations
5115 Coors Blvd NW
Ste E
Albuquerque, NM 87120
Phone (505) 897-6560
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": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1700439882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 EL PASEO ST NW",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871441410",
"telephone_number": "925-413-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 COORS BLVD NW STE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201926",
"telephone_number": "505-897-6560",
"fax_number": "505-715-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DEBORAH",
"middle_name": "SUE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NM",
"license": "7866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "00000000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Albuquerque",
"affiliation": "N",
"address_1": "5115 Coors Blvd NW Ste E",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871201926",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.