Angela Johanna Carrillo, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-13175 Issued in AZ

Practice address

281 W 24TH Street
Suite 147
Yuma, AZ 85364

Phone

(928) 366-4205

Fax

(928) 276-4605

NPI assigned

Mar 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1720449671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 W 24TH ST STE 147",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648587",
            "telephone_number": "928-366-4205",
            "fax_number": "928-276-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W 24TH STREET",
            "address_2": "SUITE 147",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-366-4205",
            "fax_number": "928-276-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANGELA",
        "middle_name": "JOHANNA",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-13175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidie Carlson, PHARM D
• Shannon Carmody
• David K Caropreso, MD
• Carpe Diem Collegiate High School
• Karla Brisa Carranza
• Sam A Carroll, D.M.D.
• John Bertram Carson, M.D.
• Corrine Carter, RN
• Henri R Carter, MD
• Jeremy Carter, MD

• Massage Therapist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; 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.