Active NPI
Caron Suzanne Caraway, LMT
- Mechanotherapist
- Albuquerque, NM
National Provider Identifier
1912253212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 7141
- Practice address
- 5345 Wyoming Blvd NE Ste 104
Albuquerque, NM 87109-3193 - Phone
- (505) 850-0872
- NPI assigned
- Jul 24, 2012
- Last updated
- Nov 6, 2013
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7141 | NM | Primary |
Addresses
Primary practice location
5345 Wyoming Blvd NE Ste 104
Albuquerque, NM 87109-3193
Mailing address
5217 Camino del Sol NE Apt D
Suite a
Albuquerque, NM 87111-2053
Phone (505) 850-0872
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 |
|---|---|---|---|
| 7141 | NM | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1912253212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 CAMINO DEL SOL NE APT D",
"address_2": "SUITE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112053",
"telephone_number": "505-850-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5345 WYOMING BLVD NE STE 104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093193",
"telephone_number": "505-850-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAWAY",
"first_name": "CARON",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NM",
"license": "7141",
"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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.