AMY DIANE LAGRANGE (NPI# 1265700934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265700934 |
| Entity Type | Individual |
| Full Name | AMY DIANE LAGRANGE |
| Credential | LMT |
| Practice Address |
4700 Jefferson St Ne Suite 100 Albuquerque NM 87109-2136 |
| Mailing Address |
933 Bradbury Se Suite 2222 Albuquerque NM 87106-4301 |
| Practice Telephone | 5059257464 |
| Practice Fax Number | 5059254539 |
| Mailing Telephone | 5052722521 |
| Mailing Fax Number | 5052723238 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 4833 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912618 | Amy Lagrange | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2017-10-09 |
| Street Address |
4700 JEFFERSON ST NE SUITE 100 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480248 | George Simmons | Chiropractor | 4700 Jefferson St Ne, Suite 100, Albuquerque, NM 87109-2136 | 2005-07-08 |
| 1336478106 | Rebeccah V Rodriguez | Acupuncturist | 4700 Jefferson St Ne, Suite 100, Albuquerque, NM 87109-2136 | 2009-12-08 |
| 1629269816 | Ashley Maltz | Internal Medicine | 4700 Jefferson St Ne, Suite 100, Albuquerque, NM 87109-2136 | 2007-08-05 |
| 1629291836 | Surya J Pierce | Family Medicine | 4700 Jefferson St Ne, Unm Center for Life, Albuquerque, NM 87109-2136 | 2007-04-10 |
| 1467544379 | Kim Weddle | Chiropractor | 4700 Jefferson St Ne, Ste 100, Albuquerque, NM 87109-2136 | 2006-09-28 |
| 1851497663 | Optumcare New Mexico, LLC | General Practice | 4700 Jefferson St Ne, Suite 800, Albuquerque, NM 87109-2136 | 2006-09-16 |
| 1336162437 | John W Doggett | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
| 1003839119 | Peter Guido | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
| 1285657304 | Robert C Albers | Internal Medicine | 4700 Jefferson St Ne, Ste 800, Albuquerque, NM 87109 | 2006-07-26 |
| 1093796815 | Mary Elizabeth Smith | Acupuncturist | 4700 Jefferson St Ne, Suite 100, Albuquerque, NM 87109-2136 | 2005-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| 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 |
|---|---|---|---|---|
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on AMY DIANE LAGRANGE.
| 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.