Active NPI
Ronald Kent Nestle, LADAC
- Addiction (Substance Use Disorder) Counselor
- Truth Or Consequences, NM
National Provider Identifier
1164645149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0064311
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0064311 | NM | MD | Addiction (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.