Margaret Anne Conolly, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2006-0137 Issued in NM

Practice address

413 Sipapu Road
Box 6952
Taos, NM 87571

Phone

(505) 758-5857

Fax

(505) 758-2832

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Development Inc.

  • Federally Qualified Health Center (FQHC)
  • Uvalde, TX
  • NPI 1134102403
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013950252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 76",
            "city": "CIMARRON",
            "state": "NM",
            "postal_code": "87714",
            "telephone_number": "505-376-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SIPAPU ROAD",
            "address_2": "BOX 6952",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-5857",
            "fax_number": "505-758-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLLY",
        "first_name": "MARGARET",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "5446",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2006-0137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21678251",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compostela Community and Family Cultural Institute
• Bonnie Lee Compton, SCHOOL PSYCHOLOGIST
• Jane Ellen Compton, O.D.
• Anamarie Alexandria Concha, CPSW
• Naomi J Concha, BMS COORDINATOR
• Adrianna Justine Cordova
• Belen Cordova, CS
• Cory James Cordova
• Crestina Cordova, PHARM.D.
• Florina A. Cordova, MS

• Psychiatry Physician in Taos, NM
• Providers in Taos, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.