Active NPI
Albert Jeremy Sandoval
- Health Educator
- Silver City, NM
National Provider Identifier
1124669197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 20778
- Practice address
- 1000 N Hudson St
Silver City, NM 88061-5516 - Phone
- (575) 597-0211
- NPI assigned
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 20778 | Primary |
Addresses
Primary practice location
1000 N Hudson St
Silver City, NM 88061-5516
Mailing address
PO Box 2000
Silver City, NM 88062-2000
Other names 1
- A.J. Jeremy Sandoval
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1124669197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880622000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N HUDSON ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615516",
"telephone_number": "575-597-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "ALBERT",
"middle_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": "20778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "A.J.",
"last_name": "SANDOVAL",
"middle_name": "JEREMY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.