Individual provider Active NPI

Ronald Kent Nestle, LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Truth Or Consequences, NM
National Provider Identifier
1164645149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0064311 Issued in NM
Practice address
800 East Ninth Street
Sierra Vista Hospital
Truth Or Consequences, NM 87901
Phone
(505) 894-2111
Fax
(505) 894-7659
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0064311 NM Primary

Addresses

Primary practice location

800 East Ninth Street
Sierra Vista Hospital
Truth Or Consequences, NM 87901

Mailing address

800 East Ninth Street
Sierra Vista Hospital
Truth Or Consequences, NM 87901
Phone (505) 894-2111

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

LicenseStateTypeSpecialty
0064311NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164645149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST NINTH STREET",
            "address_2": "SIERRA VISTA HOSPITAL",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "87901",
            "telephone_number": "505-894-2111",
            "fax_number": "505-894-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST NINTH STREET",
            "address_2": "SIERRA VISTA HOSPITAL",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "87901",
            "telephone_number": "505-894-2111",
            "fax_number": "505-894-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTLE",
        "first_name": "RONALD",
        "middle_name": "KENT",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0064311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.