NPIMap

Organization Active NPI

Central Region Educational Cooperative

  • Contractor
  • Albuquerque, NM
National Provider Identifier
1194881565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
99472279 Issued in NM
Legal business name
CENTRAL REGION EDUCATIONAL COOPERATIVE
Practice address
5321 Menaul Blvd NE Ste a
Albuquerque, NM 87110-3127
Phone
(505) 889-3412
Fax
(505) 889-3422
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nina Tafoya, NONE
Title
Director
Phone
(505) 889-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X 99472279 NM Primary

Addresses

Primary practice location

5321 Menaul Blvd NE Ste a
Albuquerque, NM 87110-3127

Mailing address

PO Box 37440
Albuquerque, NM 87176
Phone (505) 889-3412

Other names 1

  • CREC Other name

National Provider Directory

National Provider Directory

Locations

5321 Menaul Blvd NE
Ste A
Albuquerque, NM 87110
Phone (505) 889-3412

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194881565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37440",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87176",
            "telephone_number": "505-889-3412",
            "fax_number": "505-889-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MENAUL BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103127",
            "telephone_number": "505-889-3412",
            "fax_number": "505-889-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL REGION EDUCATIONAL COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-889-3412",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "NM",
            "license": "99472279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.