Individual provider Active NPI

Zhenya Novareign

  • Community Health Worker
  • Albuquerque, NM
National Provider Identifier
1114751054
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
2921 Carlisle Blvd NE Ste 117
Albuquerque, NM 87110-2864
Phone
(505) 226-3879
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NM Primary

Addresses

Primary practice location

2921 Carlisle Blvd NE Ste 117
Albuquerque, NM 87110-2864

Mailing address

2921 Carlisle Blvd NE Ste 117
Albuquerque, NM 87110-2864
Phone (505) 226-3879

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

Practice roles

OrganizationSpecialtyStatusNew patients
Land of Manana Counseling LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2921 Carlisle Blvd NE
Ste 117
Albuquerque, NM 87110
Phone (505) 226-3879

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1114751054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CARLISLE BLVD NE STE 117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102864",
            "telephone_number": "505-226-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 CARLISLE BLVD NE STE 117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102864",
            "telephone_number": "505-226-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAREIGN",
        "first_name": "ZHENYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.