Oasis Therapy LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

OASIS THERAPY LLC

Practice address

2534 Ridge Runner Rd
Las Vegas, NM 87701-4971

Phone

(505) 617-1180

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Deidra Cordova, LCSWNPI 1851806525

Title

Owner

Phone

(505) 617-1180

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deidra Marie Cordova, LMSW

  • Clinical Social Worker
  • Las Vegas, NM
  • NPI 1851806525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1003490269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45681",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745681",
            "telephone_number": "505-226-1960",
            "fax_number": "505-672-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014971",
            "telephone_number": "505-617-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-617-1180",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nueva Vida Counseling and Consulting Services LLC
• Ruben Nunez, DPM
• Elizabeth Nypaver, BMS
• Teresa Ann O'Brien, MD
• Jennifer O'Neil, CPSW
• Rosalie Delfina Obregon, LISW
• Theresa Okoro, CNM
• Melquiades Olivares Jr., M.D,
• McKenna Oney, PHARMD
• Open Doors Home Health Care

• Social Worker in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.