Active NPI
Sandra Lee Manasco, DOM
- Acupuncturist
- Albuquerque, NM
National Provider Identifier
1962517250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 878
- Practice address
- 500 Chama St NE
Albuquerque, NM 87108 - Phone
- (505) 268-1939
- Fax
- (505) 268-1939
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 878 | NM | Primary |
Addresses
Primary practice location
500 Chama St NE
Albuquerque, NM 87108
Mailing address
37 Little Cloud Rd
Moriarty, NM 87035
Phone (505) 832-4069
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 |
|---|---|---|---|
| 878 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962517250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 LITTLE CLOUD RD",
"city": "MORIARTY",
"state": "NM",
"postal_code": "87035",
"telephone_number": "505-832-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHAMA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87108",
"telephone_number": "505-268-1939",
"fax_number": "505-268-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANASCO",
"first_name": "SANDRA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "878",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.