Vanesa P Sandoval, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT9295 Issued in NM

Practice address

1005 21St St SE Ste 9
Rio Rancho, NM 87124-4030

Phone

(505) 994-1247

NPI assigned

Jul 30, 2020

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Southwest Therapy & Rehabilitation

  • Specialist
  • Rio Rancho, NM
  • NPI 1134299555
  NPD (past)

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1942819305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 TANZANITE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141853",
            "telephone_number": "505-239-9644",
            "fax_number": "505-896-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 21ST ST SE STE 9",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244030",
            "telephone_number": "505-994-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "VANESA",
        "middle_name": "P",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT9295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5058962958",
            "affiliation": "N",
            "address_1": "1005 21st St SE Ste 9",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871244030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Adelle Sandoval
• Kathryn Sandoval
• Maria Catarina Sandoval, LISW,LCSW
• Mercedes Sandoval, LMSW
• Sandy Sandoval, CPSW
• Layla Sanford
• Santa Fe Pain & Spine Specialists PC
• Victoria Santangelo
• Ellen Annette Santistevan-Salazar, LMT
• Shaun Alyssa Santoscoy

• Massage Therapist in Rio Rancho, NM
• Providers in Rio Rancho, 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 Jul 30, 2020; 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.