Active NPI
Jacqueline Martin
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1760620777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8818
- Practice address
- 1420 Carlisle Blvd NE Ste 205
Albuquerque, NM 87110-5662 - Phone
- (505) 600-1326
- NPI assigned
- Jan 29, 2009
- 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 | 8818 | NM | Primary |
Addresses
Primary practice location
1420 Carlisle Blvd NE Ste 205
Albuquerque, NM 87110-5662
Mailing address
1420 Carlisle Blvd NE Ste 205
Albuquerque, NM 87110-5662
Phone (505) 600-1326
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 |
|---|---|---|---|
| 8818 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1760620777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CARLISLE BLVD NE STE 205",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105662",
"telephone_number": "505-600-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 CARLISLE BLVD NE STE 205",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105662",
"telephone_number": "505-600-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NM",
"license": "8818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.