Individual provider Active NPI

Nancy Ann Campanozzi, MT

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1801663604
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-2023-0282 Issued in NM
Practice address
3321 Candelaria Rd NE Ste 122
Albuquerque, NM 87107-1968
Phone
(505) 681-4361
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-2023-0282 NM Primary

Addresses

Primary practice location

3321 Candelaria Rd NE Ste 122
Albuquerque, NM 87107-1968

Mailing address

5001 Blue Stone Rd NW
Albuquerque, NM 87114-2023
Phone (505) 681-4361

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT-2023-0282NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1801663604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BLUE STONE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871142023",
            "telephone_number": "505-681-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 122",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071968",
            "telephone_number": "505-681-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANOZZI",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT-2023-0282",
            "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 Dec 11, 2023; 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.