Active NPI
Rena Narisu
- Massage Therapist
- Tucson, AZ
National Provider Identifier
1871300095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 30011
- Practice address
- 4811 E Grant Rd
Tucson, AZ 85712-2771 - Phone
- (520) 661-8909
- NPI assigned
- Dec 11, 2024
- Last updated
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 30011 | AZ | Primary |
Addresses
Primary practice location
4811 E Grant Rd
Tucson, AZ 85712-2771
Mailing address
7219 W Kiwi LN
Tucson, AZ 85743-8938
Phone (626) 417-9286
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 |
|---|---|---|---|
| 30011 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1871300095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7219 W KIWI LN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857438938",
"telephone_number": "626-417-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122771",
"telephone_number": "520-661-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARISU",
"first_name": "RENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "30011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.