NPIMap

Organization Active NPI

Grasshopper Natural Medicine

Doing business as Mountain Spirit Integrative Medicine

  • Primary Care Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1194908277
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
GRASSHOPPER NATURAL MEDICINE
Doing business as
Mountain Spirit Integrative Medicine
Practice address
303 Paseo de Peralta
Santa Fe, NM 87501-1860
Phone
(505) 988-2449
Fax
(505) 986-6005
NPI assigned
Dec 11, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dawn Vivian
Title
Practice Manager
Phone
(505) 988-2449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

303 Paseo de Peralta
Santa Fe, NM 87501-1860

Mailing address

PO Box 6628
Albuquerque, NM 87197
Phone (505) 501-2701

Other practice location 1

1348 Pacheco Street
Suite 206
Santa Fe, NM 87505
Phone (505) 988-2449

Other identifiers 1

IdentifierTypeStateIssuer
NM00RK09OtherNMBCBS

Other names 1

  • Mountain Spirit Integrative Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2131110Grasshopper Natural Medicine LLC Dba Mountain303 Paseo de Peralta, Santa Fe, NM 87501Provider-performed microscopyMay 22, 2027

National Provider Directory

National Provider Directory

Locations

1348 Pacheco St
Ste 206
Santa Fe, NM 87505
Phone (505) 670-3396

303 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 988-2449

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1194908277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6628",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87197",
            "telephone_number": "505-501-2701",
            "fax_number": "505-986-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PASEO DE PERALTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011860",
            "telephone_number": "505-988-2449",
            "fax_number": "505-986-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Pacheco Street",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "87505",
            "country_code": "US",
            "telephone_number": "505-988-2449",
            "fax_number": "505-986-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRASSHOPPER NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VIVIAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "505-988-2449"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00RK09",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Spirit Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.