Active NPI
Evelyn Diaz
- Massage Therapist
- Denver, CO
National Provider Identifier
1831709096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0023169
- Practice address
- 1940 N Pennsylvania St
Denver, CO 80203-1340 - Phone
- (319) 961-9869
- NPI assigned
- Aug 3, 2020
- Last updated
- Aug 3, 2020
- 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 | MT0023169 | CO | Primary |
Addresses
Primary practice location
1940 N Pennsylvania St
Denver, CO 80203-1340
Mailing address
3237 W Avondale Dr
Denver, CO 80204-2207
Phone (916) 968-3805
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 |
|---|---|---|---|
| MT0023169 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1831709096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3237 W AVONDALE DR",
"city": "DENVER",
"state": "CO",
"postal_code": "802042207",
"telephone_number": "916-968-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 N PENNSYLVANIA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802031340",
"telephone_number": "319-961-9869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT0023169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.