Active NPI
Mara Welker, MASSAGE THERAPIST
- Reflexologist
- Willits, CA
National Provider Identifier
1992057657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- HMT001303
- Practice address
- 236 S Humboldt St
Willits, CA 95490-3514 - Phone
- (707) 841-0988
- NPI assigned
- Oct 5, 2012
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | HMT001303 | CA | Primary |
Addresses
Primary practice location
236 S Humboldt St
Willits, CA 95490-3514
Mailing address
PO Box 805
Willits, CA 95490-0805
Phone (707) 841-0988
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 |
|---|---|---|---|
| HMT001303 | CA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1992057657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 805",
"city": "WILLITS",
"state": "CA",
"postal_code": "954900805",
"telephone_number": "707-841-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 S HUMBOLDT ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954903514",
"telephone_number": "707-841-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKER",
"first_name": "MARA",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "CA",
"license": "HMT001303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.