DARLA RAE SHROCK (NPI# 1396369997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396369997 |
Entity Type | Individual |
Full Name | DARLA RAE SHROCK |
Credential | LMT, CNMT, MMP |
Practice Address |
8821 Golf Course Rd Nw Albuquerque NM 87114-5726 |
Practice Telephone | 5053992463 |
Mailing Telephone | 5053992463 |
Enumeration Date | 2020-05-31 |
Last Update Date | 2020-05-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 9067 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
8821 GOLF COURSE RD NW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87114-5726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
Find all providers in zip 87114 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
1629615950 | Kristen Leblanc | Massage Therapist | 2508 Garfield Ave Se Ste B3, Albuquerque, NM 87106-3697 | 2019-12-05 |
1851936280 | Caroline Meyers | Massage Therapist | 9204 Menaul Blvd Ne Ste 4nw, Albuquerque, NM 87112-2256 | 2019-11-08 |
1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
1194381624 | Kalina Holian | Massage Therapist | 401 Shirley St Ne, Albuquerque, NM 87123-2938 | 2019-05-09 |
1831654466 | Martina Dahl Solis | Massage Therapist | 4414 Towner Ave Ne Ste A, Albuquerque, NM 87110-3910 | 2019-02-07 |
1023592722 | Cristina Rose Gasca | Massage Therapist | 2921 Carlisle Blvd Ne Ste 104, Albuquerque, NM 87110-2850 | 2018-09-18 |
1639652449 | Sara Lynn Barker | Massage Therapist | 4601 Paradise Blvd Nw Ste 112, Albuquerque, NM 87114-6152 | 2018-09-08 |
1710469002 | Stephani Mccoy | Massage Therapist | 6211 San Mateo Blvd Ne Ste 200, Albuquerque, NM 87109-3534 | 2018-09-03 |
1780165936 | Roneesha Sanders | Massage Therapist | 2020 Menaul Blvd Ne, Albuquerque, NM 87107-1715 | 2018-08-26 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87114 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.