Moms LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

6432 Issued in NM

Legal business name

MOMS LLC

Doing business as

Taos Health Systems Inc MBR

Practice address

1329 Gusdorf Rd
Taos, NM 87571-6282

Phone

(575) 737-6504

Fax

(575) 737-6504

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Warren K Spellman

Title

Ceo

Phone

(575) 751-5714

Specialties & licenses 1

Addresses

Other names 1

• Taos Health Systems Inc MBR Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Marie Heusner

  • Advanced Practice Midwife
  • Las Vegas, NM
  • NPI 1518368919
  NPD (past)
• Tim J Moore, MD

  • Obstetrics & Gynecology Physician
  • Taos, NM
  • NPI 1730147497
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1053458240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 GUSDORF RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716282",
            "telephone_number": "575-737-6504",
            "fax_number": "575-737-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 GUSDORF RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716282",
            "telephone_number": "575-737-6504",
            "fax_number": "575-737-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-751-5714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NM",
            "license": "6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taos Health Systems Inc MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aspen Dawn Mirabal
• Deborah Ann Mirabal
• John Peter Mistler Jr., PHARM. D.
• James C Mitchell, CRNA
• Emily Moller, RN, NP
• Moms LLC
• Angel Mondragon, LMSW
• Angela M Mondragon, BMS
• Che Mondragon
• James Mondragon

• Medical Specialty Clinic/Center in Taos, NM
• Providers in Taos, NM by specialty
• Medical Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.