NPIMap

Organization Active NPI

Amistad Milestones LLC

  • Speech-Language Pathologist
  • Las Cruces, NM
National Provider Identifier
1235579137
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AMISTAD MILESTONES LLC
Practice address
3100 Oak St
Las Cruces, NM 88005-3769
Phone
(575) 523-2288
NPI assigned
Jun 25, 2013
Last updated
Jun 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Scott Bannister
Title
Registered Agent/Owner
Phone
(575) 642-7268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3100 Oak St
Las Cruces, NM 88005-3769

Mailing address

3100 Oak St
Las Cruces, NM 88005-3769

National Provider Directory

National Provider Directory
Tax ID family
Amistad Milestones LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1235579137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053769",
            "telephone_number": "575-523-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD MILESTONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "REGISTERED AGENT/OWNER",
        "authorized_official_telephone_number": "575-642-7268"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.