Active NPI
Nicolette Westphal, D.O.M.
- Acupuncturist
- Albuquerque, NM
National Provider Identifier
1053490276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 287RX1
- Practice address
- 11000 Spain Rd NE Ste E
Albuquerque, NM 87111-1895 - Phone
- (505) 271-1886
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 287RX1 | NM | Primary |
Addresses
Primary practice location
11000 Spain Rd NE Ste E
Albuquerque, NM 87111-1895
Mailing address
11000 Spain Rd NE Ste E
Albuquerque, NM 87111-1895
Phone (505) 271-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NM01R50M | Other | NM | BLUECROSS BLUE SHIELD ID |
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 |
|---|---|---|---|
| 287RX1 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053490276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11000 SPAIN RD NE STE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111895",
"telephone_number": "505-271-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 SPAIN RD NE STE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111895",
"telephone_number": "505-271-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTPHAL",
"first_name": "NICOLETTE",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "287RX1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD ID",
"identifier": "00NM01R50M",
"state": "NM"
}
],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.