Active NPI
Helene Quintana, RN
- Home Health Registered Nurse
- Santo Domingo Pueblo, NM
National Provider Identifier
1245898360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN-76704
- Practice address
- 85 West Highway 22
Santo Domingo Pueblo, NM 87052-8705 - Phone
- (505) 465-3060
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN-76704 | NM | Primary |
Addresses
Primary practice location
85 West Highway 22
Santo Domingo Pueblo, NM 87052-8705
Mailing address
85 West Highway 22
PO Box 340
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-76704 | NM | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1245898360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 WEST HIGHWAY 22",
"address_2": "PO BOX 340",
"city": "SANTO DOMINGO PUEBLO",
"state": "NM",
"postal_code": "87052",
"telephone_number": "505-465-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WEST HIGHWAY 22",
"city": "SANTO DOMINGO PUEBLO",
"state": "NM",
"postal_code": "870528705",
"telephone_number": "505-465-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "HELENE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NM",
"license": "RN-76704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santo Domingo Pueblo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.