Active NPI
Theresa Zamora
- Behavior Technician
- Rio Rancho, NM
National Provider Identifier
1043781446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-94129
- Practice address
- 1366 Snowberry Dr NE
Rio Rancho, NM 87144-6269 - Phone
- (505) 459-0538
- NPI assigned
- Dec 10, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-94129 | NM | Primary |
Addresses
Primary practice location
1366 Snowberry Dr NE
Rio Rancho, NM 87144-6269
Mailing address
1848 Lee Loop NE
Rio Rancho, NM 87144-5487
Phone (505) 459-0538
Other practice location 1
1848 Lee Loop NE
Rio Rancho, NM 87144-5487
Phone (505) 459-0538
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 |
|---|---|---|---|
| RBT-19-94129 | NM | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598140800000",
"number": "1043781446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 LEE LOOP NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445487",
"telephone_number": "505-459-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 SNOWBERRY DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871446269",
"telephone_number": "505-459-0538"
}
],
"practiceLocations": [
{
"address_1": "1848 Lee Loop NE",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871445487",
"country_code": "US",
"telephone_number": "505-459-0538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAMORA",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2020-08-23",
"certification_date": "2020-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "NM",
"license": "RBT-19-94129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.