Individual provider Active NPI

Valerie Walton, LMT

  • Massage Therapist
  • Rio Rancho, NM
National Provider Identifier
1730367376
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6292 Issued in NM
Practice address
2006 Southern Blvd. Suite 102
Rio Rancho, NM 87124-8768
Phone
(505) 917-3912
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10575 OR
Massage Therapist 225700000X 6292 NM Primary

Addresses

Primary practice location

2006 Southern Blvd. Suite 102
Rio Rancho, NM 87124-8768

Mailing address

2006 Southern Blvd. Suite 102
Rio Rancho, NM 87124-8768
Phone (505) 917-3912

Other identifiers 4

IdentifierTypeStateIssuer
10575OtherOROR STATE LICENSE #
6292OtherNMNEW MEXICO BOARD OF MASSAGE
206400OtherORAMTA MEMBER #
390533-00OtherORNCBTMB LICENSE #

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
10575ORMDClinical Social Worker
6292NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1730367376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 SOUTHERN BLVD. SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248768",
            "telephone_number": "505-917-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 SOUTHERN BLVD. SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248768",
            "telephone_number": "505-917-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "VALERIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10575",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "6292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR STATE LICENSE #",
            "identifier": "10575",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF MASSAGE",
            "identifier": "6292",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTA MEMBER #",
            "identifier": "206400",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB LICENSE #",
            "identifier": "390533-00",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.