Individual provider Active NPI

Tiffany Romero Peralta, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Belen, NM
National Provider Identifier
1093055667
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
CNS-00241 Issued in NM
Practice address
101 N 6TH St
Belen, NM 87002-3605
Phone
(505) 864-4646
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X CNS-00241 NM Primary

Addresses

Primary practice location

101 N 6TH St
Belen, NM 87002-3605

Mailing address

101 N 6TH St
Belen, NM 87002-3605
Phone (505) 864-4646

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
I20220106001878 NM Practitioner - Nurse Practitioner 5294963013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valencia Health and Wellness, P.CGroup PAC ID 3173956877, 5 clinicians

Practice addresses (Care Compare)

101 N 6TH St
Belen, NM 87002-3605
Phone (505) 317-7773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNS-00241NMMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valencia Health and Wellness, P.C CurrentSince Sep 1, 2025 Accepting new patients

Locations

101 N 6th St
Belen, NM 87002
Phone (505) 317-7773

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20587/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tiffany.romero.peralta.1@20587.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1093055667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023605",
            "telephone_number": "505-864-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 6TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023605",
            "telephone_number": "505-864-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO PERALTA",
        "first_name": "TIFFANY",
        "credential": "ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NM",
            "license": "CNS-00241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.