Active NPI
David Hyatt, LMSW
- Social Worker
- Taos, NM
National Provider Identifier
1114175221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M04842
- Practice address
- 213 Paseo del Canon
Taos, NM 87571 - Phone
- (575) 758-5292
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M04842 | NM | Primary |
Addresses
Primary practice location
213 Paseo del Canon
Taos, NM 87571
Mailing address
26046 Highway 64 East
Taos, NM 87571
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 |
|---|---|---|---|
| M04842 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1114175221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26046 HIGHWAY 64 EAST",
"city": "TAOS",
"state": "NM",
"postal_code": "87571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 PASEO DEL CANON",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "575-758-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "DAVID",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M04842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.