NPIMap

Organization Active NPI

4 Winds Equestrian Center, LLC

Doing business as 4 Winds Equestrian Retreat & Wellness Center

  • Community/Behavioral Health Agency
  • Estancia, NM
National Provider Identifier
1245507656
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
4 WINDS EQUESTRIAN CENTER, LLC
Doing business as
4 Winds Equestrian Retreat & Wellness Center
Practice address
9031 Hwy 337 South
Estancia, NM 87016
Phone
(505) 384-1831
Fax
(505) 384-3238
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Mrs. Colleen Novotny
Title
Administrative Director
Phone
(505) 384-1831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

9031 Hwy 337 South
Estancia, NM 87016

Mailing address

9031 Hwy 337 South
Estancia, NM 87016
Phone (505) 384-1831

Other names 1

  • 4 Winds Equestrian Retreat & Wellness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1245507656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 HWY 337 SOUTH",
            "city": "ESTANCIA",
            "state": "NM",
            "postal_code": "87016",
            "telephone_number": "505-384-1831",
            "fax_number": "505-384-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 HWY 337 SOUTH",
            "city": "ESTANCIA",
            "state": "NM",
            "postal_code": "87016",
            "telephone_number": "505-384-1831",
            "fax_number": "505-384-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 WINDS EQUESTRIAN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "505-384-1831",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 Winds Equestrian Retreat & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estancia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.