Active NPI
Christina Beltran
- Speech-Language Pathologist
- Santa Teresa, NM
National Provider Identifier
1124841887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SAH-2024-0196
- Practice address
- 4950 McNutt Rd
Santa Teresa, NM 88008-9621 - Phone
- (575) 882-6101
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SAH-2024-0196 | NM | MD | Speech-Language Pathologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SAH-2024-0196 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4950 McNutt Rd
Santa Teresa, NM 88008-9621
Mailing address
3244 Missouri Ave Apt C
Las Cruces, NM 88011-4885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2024.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1124841887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 MISSOURI AVE APT C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 MCNUTT RD",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089621",
"telephone_number": "575-882-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SAH-2024-0196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.