Individual provider Active NPI

Sonia Di Mambro Carey, LMT

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1841514148
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6553 Issued in NM
Practice address
4824 McMahon Blvd NW Ste 113
Albuquerque, NM 87114-5412
Phone
(505) 890-9378
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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 6553 NM Primary

Addresses

Primary practice location

4824 McMahon Blvd NW Ste 113
Albuquerque, NM 87114-5412

Mailing address

6119 Mustang LN NW
Albuquerque, NM 87120-2289
Phone (505) 890-9378

Other identifiers 1

IdentifierTypeStateIssuer
6553OtherNMNM MASSAGE THERAPY BOARD

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
6553NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Acupuncture & Massage LLC Past Accepting new patients
Westside Herbs & Acupuncture, LTD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1841514148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 MUSTANG LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202289",
            "telephone_number": "505-890-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW STE 113",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145412",
            "telephone_number": "505-890-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI MAMBRO CAREY",
        "first_name": "SONIA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "6553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MASSAGE THERAPY BOARD",
            "identifier": "6553",
            "state": "NM"
        }
    ],
    "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 Mar 16, 2010; 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.