Active NPI
Anna Maria Marshall, LMSW
- Social Worker
- Rio Rancho, NM
National Provider Identifier
1053796284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C-09787
- Practice address
- 900 Stagecoach Rd
Rio Rancho, NM 87124 - Phone
- (505) 720-9959
- Fax
- (575) 751-1371
- NPI assigned
- Jul 29, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C-09787 | NM | Primary |
Addresses
Primary practice location
900 Stagecoach Rd
Rio Rancho, NM 87124
Mailing address
900 Stagecoach Rd
Rio Rancho, NM 87124
Phone (505) 720-9959
Other names 1
- Anna Maria Archuleta
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 |
|---|---|---|---|
| C-09787 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Mountain LLC. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- NPI 1295154888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1053796284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 STAGECOACH RD",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87124",
"telephone_number": "505-720-9959",
"fax_number": "575-751-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 STAGECOACH RD",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87124",
"telephone_number": "505-720-9959",
"fax_number": "575-751-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ANNA",
"middle_name": "MARIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "C-09787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "ARCHULETA",
"middle_name": "MARIA",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 25, 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.