Active NPI
Jennifer Nicole Cruz, MOT, OTR/L
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1093012767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2783
- Practice address
- 1512 Cerro Vista Rd SW
Albuquerque, NM 87105-3006 - Phone
- (505) 870-3297
- NPI assigned
- Feb 16, 2011
- Last updated
- May 18, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2783 | NM | Primary |
Addresses
Primary practice location
1512 Cerro Vista Rd SW
Albuquerque, NM 87105-3006
Mailing address
1512 Cerro Vista Rd SW
Albuquerque, NM 87105-3006
Phone (505) 870-3297
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 |
|---|---|---|---|
| 2783 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1093012767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 CERRO VISTA RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053006",
"telephone_number": "505-870-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 CERRO VISTA RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053006",
"telephone_number": "505-870-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2783",
"primary": true
}
],
"identifiers": [],
"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 May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.