Active NPI
Tabatha Glerup
- Clinical Social Worker
- Rio Rancho, NM
National Provider Identifier
1003590175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213 - Phone
- (505) 994-4100
- Fax
- (505) 994-1229
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213
Mailing address
1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213
Phone (505) 994-4100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1003590175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 GOLF COURSE RD SE STE C",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871245213",
"telephone_number": "505-994-4100",
"fax_number": "505-994-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 GOLF COURSE RD SE STE C",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871245213",
"telephone_number": "505-994-4100",
"fax_number": "505-994-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLERUP",
"first_name": "TABATHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.