Active NPI
Sarah Rose Petersen, D.O.M.
- Acupuncturist
- Santa Fe, NM
National Provider Identifier
1255873105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1193
- Practice address
- 132 Arroyo Hondo Rd
Santa Fe, NM 87508-5941 - Phone
- (512) 689-0001
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1193 | NM | Primary |
Addresses
Primary practice location
132 Arroyo Hondo Rd
Santa Fe, NM 87508-5941
Mailing address
132 Arroyo Hondo Rd
Santa Fe, NM 87508-5941
Phone (512) 689-0001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1193 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1255873105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 ARROYO HONDO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875085941",
"telephone_number": "512-689-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 ARROYO HONDO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875085941",
"telephone_number": "512-689-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "SARAH",
"middle_name": "ROSE",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.