Individual provider Active NPI

Patrick Nuzzo, DN

  • Naprapath
  • Santa Fe, NM
National Provider Identifier
1093853939
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
0001 Issued in NM
Practice address
3600 Cerrillos Rd
Suite 407
Santa Fe, NM 87507-2612
Phone
(505) 424-8990
Fax
(505) 424-6377
NPI assigned
Feb 2, 2007
Last updated
Jan 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 181.000111 IL
Specialist 174400000X 0001 NM
Naprapath 172P00000X 181000111 IL
Naprapath 172P00000X 0001 NM Primary

Addresses

Primary practice location

3600 Cerrillos Rd
Suite 407
Santa Fe, NM 87507-2612

Mailing address

2006 Botulph Rd
Suite a
Santa Fe, NM 87505
Phone (505) 424-8990

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

LicenseStateTypeSpecialty
181000111ILMDNaprapath
181.000111ILMDSpecialist
0001NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Naprapathic Medicine of New Mexico Naprapath 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1093853939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BOTULPH RD",
            "address_2": "SUITE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-424-8990",
            "fax_number": "505-424-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD",
            "address_2": "SUITE 407",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072612",
            "telephone_number": "505-424-8990",
            "fax_number": "505-424-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZO",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "181.000111",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "0001",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000111",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "NM",
            "license": "0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.