NPIMap

Organization Active NPI

Corey Sutter FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1023293990
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R29804 Issued in NM
Legal business name
COREY SUTTER FNP
Practice address
2019 Galisteo St
Ste J-1
Santa Fe, NM 87505-2143
Phone
(505) 820-0446
Fax
(505) 820-6142
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Ms. Corey Sutter, FNP
Title
FNP
Phone
(505) 820-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R29804 NM Primary

Addresses

Primary practice location

2019 Galisteo St
Ste J-1
Santa Fe, NM 87505-2143

Mailing address

2019 Galisteo St
Ste J-1
Santa Fe, NM 87505-2143
Phone (505) 820-0446

Other identifiers 1

IdentifierTypeStateIssuer
000R9598MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1023293990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "STE J-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-820-0446",
            "fax_number": "505-820-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "STE J-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-820-0446",
            "fax_number": "505-820-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY SUTTER FNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "505-820-0446",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R29804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000R9598",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.