Active NPI
Celeste Venegas, COTA/L
- Occupational Therapy Assistant
- Albuquerque, NM
National Provider Identifier
1053089581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3825
- Practice address
- 8100 Palomas Ave NE
Albuquerque, NM 87109-5264 - Phone
- (505) 340-6361
- NPI assigned
- Aug 31, 2021
- Last updated
- Aug 31, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3825 | NM | Primary |
Addresses
Primary practice location
8100 Palomas Ave NE
Albuquerque, NM 87109-5264
Mailing address
8100 Palomas Ave NE
Albuquerque, NM 87109-5264
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | celestevenegas@hotmail.com | Direct | |
| Other URL | optima | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 3825 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1053089581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 PALOMAS AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 PALOMAS AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095264",
"telephone_number": "505-340-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEGAS",
"first_name": "CELESTE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NM",
"license": "3825",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celestevenegas@hotmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3608 Ladera Dr NW Apt C205",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871201790",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "optima",
"affiliation": "N",
"endpointDescription": "Electronic medical record",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct message",
"address_1": "8100 Palomas Ave NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871095264",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.