Individual provider Active NPI

Vanessa Marie Mora, CNP

  • Occupational Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1083358857
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
67456 Issued in NM
Practice address
6621 Orphelia Ave NE
Albuquerque, NM 87109-3752
Phone
(505) 290-2101
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 67456 NM Primary

Addresses

Primary practice location

6621 Orphelia Ave NE
Albuquerque, NM 87109-3752

Mailing address

6621 Orphelia Ave NE
Albuquerque, NM 87109-3752
Phone (505) 290-2101

Other names 1

  • Vanessa Marie Tafoya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519001673 NM Practitioner - Nurse Practitioner 5092192633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

3101 Menaul Blvd NE
Suite B
Albuquerque, NM 87107-1872
Phone (505) 842-5151

5700 Harper Dr NE
Suite 110
Albuquerque, NM 87109-3540
Phone (505) 823-9166

720 Saint Michaels Dr
Suite C
Santa Fe, NM 87505-7636
Phone (505) 438-9402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
67456NMMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince May 11, 2022 Accepting new patients
American Current Care P.a. CurrentSince May 11, 2022 Accepting new patients

Locations

720 Saint Michaels Dr
Ste D
Santa Fe, NM 87505
Phone (505) 438-9402

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1083358857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 ORPHELIA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093752",
            "telephone_number": "505-290-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 ORPHELIA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093752",
            "telephone_number": "505-290-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NM",
            "license": "67456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "TAFOYA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.