Organization Active NPI

New Mexico Em-I Medical Services

  • Specialist
  • Los Alamos, NM
National Provider Identifier
1205031655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20050031 Issued in NM
Legal business name
NEW MEXICO EM-I MEDICAL SERVICES
Practice address
3917 West Rd Ste 231
Los Alamos, NM 87544-2275
Phone
(506) 662-9256
NPI assigned
Jun 17, 2007
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
Denise A Hansel
Title
Office Manager
Phone
(505) 662-9256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20050031 NM Primary

Addresses

Primary practice location

3917 West Rd Ste 231
Los Alamos, NM 87544-2275

Mailing address

3917 West Rd Ste 231
Los Alamos, NM 87544-2275
Phone (506) 662-9256

Other identifiers 1

IdentifierTypeStateIssuer
F9713MedicaidNM

National Provider Directory

National Provider Directory

Locations

3917 West Rd
Ste 231
Los Alamos, NM 87544
Phone (506) 662-9256

NPI Registry JSON

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205031655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE 231",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "506-662-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE 231",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "506-662-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO EM-I MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-662-9256"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "20050031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F9713",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, 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.