Organization Active NPI

Hope Rising New Mexico

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1255174785
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOPE RISING NEW MEXICO
Practice address
11312 Canyonlands Rd SE
Albuquerque, NM 87123-5797
Phone
(505) 280-0193
NPI assigned
Jun 13, 2024
Last updated
Sep 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Authorized official

Name
Audra Hays, LCSWNPI 1194120162
Title
Clinical Social Worker/Owner
Phone
(505) 280-0193

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

11312 Canyonlands Rd SE
Albuquerque, NM 87123-5797

Mailing address

11312 Canyonlands Rd SE
Albuquerque, NM 87123-5797
Phone (505) 280-0193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241006000043 NM Part B Supplier - Clinic/Group Practice 2961933676 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1255174785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 CANYONLANDS RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235797",
            "telephone_number": "505-280-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 CANYONLANDS RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235797",
            "telephone_number": "505-280-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE RISING NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "505-280-0193",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.