Active NPI
Carol Joann Quintana, CFNP
- Family Nurse Practitioner
- Questa, NM
National Provider Identifier
1043388457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R17060
- Practice address
- 2573 State Hwy 522
Questa, NM 87556-0290 - Phone
- (505) 586-0315
- Fax
- (505) 586-0519
- NPI assigned
- Dec 1, 2006
- Last updated
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R17060 | NM | Primary |
Addresses
Primary practice location
2573 State Hwy 522
Questa, NM 87556-0290
Mailing address
PO Box 295
Cerro, NM 87519-0295
Phone (575) 586-1017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47225 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R17060 | NM | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1043388457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "CERRO",
"state": "NM",
"postal_code": "875190295",
"telephone_number": "575-586-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2573 STATE HWY 522",
"city": "QUESTA",
"state": "NM",
"postal_code": "875560290",
"telephone_number": "505-586-0315",
"fax_number": "505-586-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "CAROL",
"middle_name": "JOANN",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R17060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47225",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Questa, NM
- Druanne Payne, SLP
- Veronika Anne Peacetree, LPCC
- Valerie Lynne Pierce, M.S.W.
- Presbyterian Medical Services (Questa Health Center)
- Questa Independent Schools
- Jana Rael, MS SLP
- Jeffrey Rogers, LMSW
- Arielle Maria Rothenberg, MPS, LPAT, LPCC
- William Jay Salls, CNP
- Sunrise Clinics (Sunrise Clinics - Questa Middle/High SBHC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.