Active NPI
Magdalena Anderle, LMT
- Specialist
- Santa Fe, NM
National Provider Identifier
1043632979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7380
- Practice address
- 1600 Lena St
Building C, # 16
Santa Fe, NM 87505-3891 - Phone
- (505) 216-1661
- Fax
- (505) 216-1661
- NPI assigned
- Jan 12, 2014
- Last updated
- Jan 12, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 7380 | NM | Primary |
Addresses
Primary practice location
1600 Lena St
Building C, # 16
Santa Fe, NM 87505-3891
Mailing address
PO Box 441
Ribera, NM 87560-0441
Phone (415) 798-7508
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7380 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389484800000",
"number": "1043632979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 441",
"city": "RIBERA",
"state": "NM",
"postal_code": "875600441",
"telephone_number": "415-798-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LENA ST",
"address_2": "BUILDING C, # 16",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053891",
"telephone_number": "505-216-1661",
"fax_number": "505-216-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERLE",
"first_name": "MAGDALENA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-12",
"last_updated": "2014-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "7380",
"primary": true
}
],
"identifiers": [],
"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 Jan 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.