Organization Active NPI

Knew Creation LLC

  • Professional Counselor
  • Farmington, NM
National Provider Identifier
1235894528
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KNEW CREATION LLC
Practice address
1100 E Murray Dr
Farmington, NM 87401-7234
Phone
(505) 402-6886
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Kitrina Tamminga, LPCCNPI 1487965380
Title
Owner
Phone
(505) 402-6886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1100 E Murray Dr
Farmington, NM 87401-7234

Mailing address

10 Road 3782
Farmington, NM 87401-1037
Phone (505) 402-6886

National Provider Directory

National Provider Directory

Locations

1100 E Murray Dr
Farmington, NM 87401
Phone (505) 402-6886

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1235894528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROAD 3782",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874011037",
            "telephone_number": "505-402-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MURRAY DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874017234",
            "telephone_number": "505-402-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEW CREATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "TAMMINGA",
        "authorized_official_first_name": "KITRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-402-6886",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.