Active NPI
Merenda Renae Romine, LMT
- Massage Therapist
- Pagosa Springs, CO
National Provider Identifier
1710385075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0012054
- Practice address
- 26 Durango CT.
Pagosa Springs, CO 81147 - Phone
- (970) 317-5760
- NPI assigned
- Dec 18, 2014
- Last updated
- Dec 18, 2014
- 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 | 0012054 | CO | Primary |
Addresses
Primary practice location
26 Durango CT.
Pagosa Springs, CO 81147
Mailing address
P.O. Box 3567
Pagosa Springs, CO 81147
Phone (970) 317-5760
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 |
|---|---|---|---|
| 0012054 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1710385075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3567",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "81147",
"telephone_number": "970-317-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 DURANGO CT.",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "81147",
"telephone_number": "970-317-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMINE",
"first_name": "MERENDA",
"middle_name": "RENAE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0012054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pagosa Springs, CO
- Daniel Matthew Renner, MD
- Nicholas Thomas Reynolds, D.O.
- Brandy Diane Richardson, CLC
- Erica J Robinson
- Rocky Mountain Physical Therapy & Sports Injury Center, Inc.
- Peter James Roukema, D.M.D.
- J Glenn Rutherford, DDS
- Jordan G Rutherford
- Kristin L Salisbury, OCCUPATIONAL THERAP
- San Juan Dental Hygiene LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.