TWC Abq

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TWC ABQ

Doing business as

The Wellness Company

Practice address

6300 San Mateo Blvd NE Ste F2
Albuquerque, NM 87109-3536

Phone

(505) 818-1930

Fax

(505) 336-5399

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Anthony Cerna Jr.

Title

President

Phone

(505) 818-1930

Specialties & licenses 1

Addresses

Other names 1

• The Wellness Company Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystal Pearl Casias, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1346974920
  Medicare reassignment NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1124891650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAN MATEO BLVD NE STE F2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093536",
            "telephone_number": "505-818-1930",
            "fax_number": "505-336-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAN MATEO BLVD NE STE F2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093536",
            "telephone_number": "505-818-1930",
            "fax_number": "505-336-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWC ABQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CERNA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-818-1930",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.