Theresa Maria Dyess, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

R35691 Issued in NM

Practice address

1090 Goat Springs Road
Taos Piculis Indian Health Center
Taos, NM 87571

Phone

(505) 758-4224

Fax

(505) 751-5211

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Maria Abeyta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235203407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1956",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-4224",
            "fax_number": "505-751-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 GOAT SPRINGS ROAD",
            "address_2": "TAOS PICULIS INDIAN HEALTH CENTER",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-4224",
            "fax_number": "505-751-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYESS",
        "first_name": "THERESA",
        "middle_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "R35691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "ABEYTA",
            "middle_name": "MARIA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Connie Michelle Duncan
• Karel Dunning-Mirabal, LISW
• Augusta Sunshine Duran, CPSW
• Ellen Durant
• David Edward Dyess, CRNA
• Eight Northern Indian Pueblos Council, Inc.
• Eight Northern Indian Pueblos Council, Inc.
• El Centro Family Health
• El Centro Family Health
• El Centro Family Health

• All providers in Taos, NM
• General Practice Registered Nurse in New Mexico

• 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.