Active NPI
Amy Jeannie Maldonado, LMT
- Massage Therapist
- Bosque Farms, NM
National Provider Identifier
1942522305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2352
- Practice address
- 1330 Bosque Farms Blvd
Bosque Farms, NM 87068-9325 - Phone
- (505) 916-0003
- NPI assigned
- Feb 25, 2010
- 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 | 2352 | NM | Primary |
Addresses
Primary practice location
1330 Bosque Farms Blvd
Bosque Farms, NM 87068-9325
Mailing address
1330 Bosque Farms Blvd
Bosque Farms, NM 87068-9325
Phone (505) 916-0003
Other names 1
- Ms. Amy Ruby Maldonado
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 |
|---|---|---|---|
| 2352 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1942522305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOSQUE FARMS BLVD",
"city": "BOSQUE FARMS",
"state": "NM",
"postal_code": "870689325",
"telephone_number": "505-916-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOSQUE FARMS BLVD",
"city": "BOSQUE FARMS",
"state": "NM",
"postal_code": "870689325",
"telephone_number": "505-916-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "AMY",
"middle_name": "JEANNIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "2352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MALDONADO",
"middle_name": "RUBY",
"prefix": "MS.",
"credential": "MMP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bosque Farms, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.