North Valley Acupuncture and Family Practice, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1050 Issued in NM

Legal business name

NORTH VALLEY ACUPUNCTURE AND FAMILY PRACTICE, LLC

Practice address

7120 4TH St NW
Ste. a
Los Ranchos, NM 87107-6642

Phone

(505) 899-7095

Fax

(505) 792-4085

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Ruth Michelle Matkin, RN, DOM

Title

Doctor of Oriental Medicine/Owner

Phone

(505) 899-7095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1093095176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 4TH ST NW",
            "address_2": "STE. A",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076642",
            "telephone_number": "505-899-7095",
            "fax_number": "505-792-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 4TH ST NW",
            "address_2": "STE. A",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076642",
            "telephone_number": "505-899-7095",
            "fax_number": "505-792-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY ACUPUNCTURE AND FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "MATKIN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE/OWNER",
        "authorized_official_telephone_number": "505-899-7095",
        "authorized_official_credential": "RN, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Natko, PHARMD
• Caroline Boyd Netschert
• Staci Newman, PHARM D
• Phuong Ngoc Nguyen, PHARMD
• NM Pelvic Health Physical Therapy
• Northwest Medical Center Inc.
• Lauren Faye Oberholser, RN, IBCLC
• Andi Renee Ochoa, LMHC
• Angela Ortega
• Tiffany Ortiz, FNP-C

• Acupuncturist in Los Ranchos, NM
• Providers in Los Ranchos, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.