NPIMap

Organization Active NPI

Crossroads Community Health Clinic

  • Acupuncturist
  • Taos, NM
National Provider Identifier
1144765983
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1102 Issued in NM
Legal business name
CROSSROADS COMMUNITY HEALTH CLINIC
Practice address
330 Paseo del Pueblo Sur
Taos, NM 87571-5328
Phone
(575) 776-7806
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Dr. Lilly-Marie Maita Blecher, ND, DOM
Title
President
Phone
(575) 776-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 1102 NM Primary

Addresses

Primary practice location

330 Paseo del Pueblo Sur
Taos, NM 87571-5328

Mailing address

330 Paseo del Pueblo Sur
Taos, NM 87571-5328
Phone (575) 776-7806

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Community Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

330 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 776-7806

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1144765983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PASEO DEL PUEBLO SUR",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715328",
            "telephone_number": "575-776-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PASEO DEL PUEBLO SUR",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715328",
            "telephone_number": "575-776-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "BLECHER",
        "authorized_official_first_name": "LILLY-MARIE",
        "authorized_official_middle_name": "MAITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-776-7806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.