Individual provider Active NPI

Nityamo Lian, DOM, MPH

  • Acupuncturist
  • Taos, NM
National Provider Identifier
1245356070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
608 Issued in NM
Practice address
206 Paseo del Pueblo Norte
Taos, NM 87571-5902
Phone
(505) 232-7654
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 608 NM Primary

Addresses

Primary practice location

206 Paseo del Pueblo Norte
Taos, NM 87571-5902

Mailing address

PO Box 35863
Albuquerque, NM 87176-5863
Phone (505) 232-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
608NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Acupuncture of New Mexico Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245356070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35863",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765863",
            "telephone_number": "505-232-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PASEO DEL PUEBLO NORTE",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715902",
            "telephone_number": "505-232-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAN",
        "first_name": "NITYAMO",
        "name_prefix": "Dr.",
        "credential": "DOM, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • 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.