Individual provider Active NPI

Joanna Jane Hooper, MD

  • Family Medicine Physician
  • Taos, NM
National Provider Identifier
1275780140
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2011-0528 Issued in NM
Practice address
1337 Gusdorf Rd Suite O
Taos, NM 87571
Phone
(575) 776-7806
Fax
(575) 613-7161
NPI assigned
Aug 22, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2011-0528 NM Primary

Addresses

Primary practice location

1337 Gusdorf Rd Suite O
Taos, NM 87571

Mailing address

1337 Gusdorf Rd Suite O
Taos, NM 87571
Phone (575) 776-7806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000941 NM Practitioner - Family Practice 3577737972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Whole Health Integrative Care, LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Red Willow Hospice Family Medicine PastSince Jan 24, 2022 Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients
El Centro Family Health Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1331 Maestas Rd
Taos, NM 87571
Phone (505) 758-1216

1337 Gusdorf Rd
Ste O
Taos, NM 87571
Phone (575) 224-3197

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17440/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jhooper833296@direct.ochin.org
  • Direct secure messaging: joanna.hooper.1@17440.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Red Willow HospiceTaos, NM, CCN 321588 Hospice 5% Or Greater Direct Ownership Interest (33%)
Limited Partnership Interest (33%)
W-2 Managing Employee (33%)
Jan 24, 2022
May 27, 2022
Jan 24, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275780140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD SUITE O",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-776-7806",
            "fax_number": "575-613-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD SUITE O",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-776-7806",
            "fax_number": "575-613-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "JOANNA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2011-0528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.