Nicholas L Hugentobler PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18-00150244 Issued in NM

Legal business name

NICHOLAS L HUGENTOBLER PC

Doing business as

Animas Foot & Ankle

Practice address

2019 Galisteo St Ste K-2
Santa Fe, NM 87505

Phone

(505) 395-9575

Fax

(505) 466-5166

NPI assigned

Jun 1, 2018

Last updated

Jun 1, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

NICHOLAS L HUGENTOBLER, PCAs reported in NPPES

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

Authorized official

Name

Robin Stevenson

Title

Credentialing Specialist

Phone

(480) 453-1105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Animas Foot & Ankle Doing business as

Part of

Nicholas L Hugentobler PC

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1134611460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE UNIT 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-3154",
            "fax_number": "970-828-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE K-2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-395-9575",
            "fax_number": "505-466-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Galisteo St Ste K-2",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875052143",
            "country_code": "US",
            "telephone_number": "505-395-9575",
            "fax_number": "505-466-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS L HUGENTOBLER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICHOLAS L HUGENTOBLER, PC",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-453-1105"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "18-00150244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60583517",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Animas Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nexus Health Primary Care LLC
• Julie Nguyen, DDS
• Justin Nguyen, DPT
• Linh Ngoc Nguyen, MD
• Katherine Ni Keefe
• Deborah A. Nicholas, M.D.
• Carla Nichols
• Todd Nichols, LPCC
• Darcy A Nicholson, L.M.T.
• Nico Ortiz Holistic Counseling and Wellness LLC

• Durable Medical Equipment & Medical Supplies in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.