Organization Active NPI

Lifesphere LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
National Provider Identifier
1114509437
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFESPHERE LLC
Practice address
532 Don Gaspar Ave
Santa Fe, NM 87505-2626
Phone
(505) 983-0693
Fax
(505) 393-3070
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Adonata PyagaNPI 1710495940
Title
Manager
Phone
(505) 983-0693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

532 Don Gaspar Ave
Santa Fe, NM 87505-2626

Mailing address

5 Bisbee CT Ste 109
Santa Fe, NM 87508-1419
Phone (505) 983-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208003316 NM Part B Supplier - Clinic/Group Practice 6204279029 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

5 Bisbee Ct
Ste 109
Santa Fe, NM 87508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1114509437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BISBEE CT STE 109",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081419",
            "telephone_number": "505-983-0693",
            "fax_number": "505-393-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052626",
            "telephone_number": "505-983-0693",
            "fax_number": "505-393-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPHERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "PYAGA",
        "authorized_official_first_name": "ADONATA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-983-0693"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.