Active NPI
Angela Moore, B.A., R.M.T
- Massage Therapist
- Alamosa, CO
National Provider Identifier
1992129662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0015115
- Practice address
- 422 4TH St
Alamosa, CO 81101-2673 - Phone
- (608) 698-0543
- NPI assigned
- Feb 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0015115 | CO | Primary |
| Massage Therapist | 225700000X | 4268-146 | WI |
Addresses
Primary practice location
422 4TH St
Alamosa, CO 81101-2673
Mailing address
8280 Canon City Rd
Blanca, CO 81123-9126
Phone (608) 698-0543
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015115 | CO | MD | Massage Therapist |
| 4268-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1992129662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8280 CANON CITY RD",
"city": "BLANCA",
"state": "CO",
"postal_code": "811239126",
"telephone_number": "608-698-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 4TH ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012673",
"telephone_number": "608-698-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANGELA",
"credential": "B.A., R.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0015115",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "4268-146",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.