Individual provider Active NPI

Amaranta Amatista Campos, LMT

  • Other Technician
  • Sahuarita, AZ
National Provider Identifier
1982946224
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
MT-15113 Issued in AZ
Practice address
15920 S Rancho Sahuarita Blvd Ste 160
Sahuarita, AZ 85629-8014
Phone
(520) 867-8064
Fax
(520) 867-8063
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X MT-15113 AZ Primary

Addresses

Primary practice location

15920 S Rancho Sahuarita Blvd Ste 160
Sahuarita, AZ 85629-8014

Mailing address

10020 S Nogales Hwy Unit 6
Tucson, AZ 85756-9207
Phone (520) 906-3459

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

LicenseStateTypeSpecialty
MT-15113AZMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Massage & Life Fitness, LLC Past Accepting new patients
Vitality Spine & Sports Physical Therapy, LLC PastSince Dec 1, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1982946224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 S NOGALES HWY UNIT 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857569207",
            "telephone_number": "520-906-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD STE 160",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298014",
            "telephone_number": "520-867-8064",
            "fax_number": "520-867-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "AMARANTA",
        "middle_name": "AMATISTA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AZ",
            "license": "MT-15113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.