Susan M Prins, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT8460 Issued in NM

Practice address

219 NM-75
Dixon, NM 87527

Phone

(505) 901-1272

NPI assigned

Jun 4, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Carnelian Center

  • Massage Therapist
  • Dixon, NM
  • NPI 1902798523
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1891362232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 EL VALLE RD",
            "city": "CHAMISAL",
            "state": "NM",
            "postal_code": "875214018",
            "telephone_number": "505-901-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NM-75",
            "city": "DIXON",
            "state": "NM",
            "postal_code": "87527",
            "telephone_number": "505-901-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT8460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breathing Into Roots LLC
• Jennifer Rizzo, LMT
• Cathy Jo Robison, LMT
• The Carnelian Center

• Massage Therapist in Dixon, NM
• Providers in Dixon, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.