Mariposa Health & Beauty Spa

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MARIPOSA HEALTH & BEAUTY SPA

Practice address

2019 Galisteo St Ste M5
Santa Fe, NM 87505-2106

Phone

(505) 699-9466

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ellen Lopez, FNP

Title

Owner / Provider

Phone

(505) 690-9344

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ellen Lopez, CNP

  • Nurse Practitioner
  • Santa Fe, NM
  • NPI 1659349298
  NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1013643410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE M5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052106",
            "telephone_number": "505-699-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE M5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052106",
            "telephone_number": "505-699-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA HEALTH & BEAUTY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "505-690-9344",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Seren Cohen PHD LLC
• Marilyn L Matthews MD
• Claudia Gabriela Marin-Villalobos
• Paulette Maria Marin
• Mary Ellen Marino, DOM,N.D.
• Mark S. Bradley, M.D. LLC
• Mark Seredowych, MD, PC
• Stephen David Markowitz, MD
• Judy Fay Marks, LISW
• Ashley Diane Markus

• Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.