Sangre de Cristo Health and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SANGRE DE CRISTO HEALTH AND WELLNESS

Practice address

830 Airport Rd
Las Vegas, NM 87701-9405

Phone

(505) 718-6319

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Jenny Nation, FNP-BCNPI 1780270280

Title

Owner/Provider

Phone

(505) 718-6319

Specialties & licenses 1

Addresses

Other names 1

• Sangre de Cristo Health and Wellness Doing business as

Practitioners 1

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

• Jenny B Nation, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NM
  • NPI 1780270280
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1114608577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 AIRPORT RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019405",
            "telephone_number": "505-718-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AIRPORT RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019405",
            "telephone_number": "505-718-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGRE DE CRISTO HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "NATION",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "505-718-6319",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sangre de Cristo Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Sandoval, MSW
• Christine B Sandoval, LBSW
• Elizabeth Sandoval, LBSW
• Jamie Miranda Sandoval
• Sharon Sandoval, CYPSS
• Clifford Santillanes, LMHC
• Diane Sarris, PSYD
• Mary Starr Schipper, MD
• John Scott, PA
• Chantel Sedillos, LBSW

• Primary Care Clinic/Center in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.