NPIMap

Organization Active NPI

Shared Vision

  • Community/Behavioral Health Agency
  • Belen, NM
National Provider Identifier
1245777523
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C0938 Issued in NM
Legal business name
SHARED VISION
Practice address
54 Cut Tree LN
Belen, NM 87002-8224
Phone
(505) 306-9136
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Susan Kary Sanchez, MSW
Title
Director
Phone
(505) 306-9136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C0938 NM Primary

Addresses

Primary practice location

54 Cut Tree LN
Belen, NM 87002-8224

Mailing address

54 Cut Tree LN
Belen, NM 87002-8224
Phone (505) 306-9136

Other identifiers 1

IdentifierTypeStateIssuer
C0938OtherNMNM LICENSURE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1245777523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CUT TREE LN",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870028224",
            "telephone_number": "505-306-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CUT TREE LN",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870028224",
            "telephone_number": "505-306-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-306-9136",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "C0938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSURE",
            "identifier": "C0938",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.