Natalie Moctezuma, M.S. CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-5477 Issued in NM

Practice address

610 Alta Vista St
Santa Fe, NM 87505-4149

Phone

(505) 467-2000

NPI assigned

Mar 21, 2014

Last updated

Mar 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1285051854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 GLOBUS CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144309",
            "telephone_number": "201-674-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ALTA VISTA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054149",
            "telephone_number": "505-467-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCTEZUMA",
        "first_name": "NATALIE",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bunnell Mitchell, MSW, LISW
• Sarah Mitchell, LM CPM
• William Edgefield Mitchell Jr., MD
• Arianna Mladosich
• Mobile Medicine
• Marcel Millado Modelo, PTA
• Modern Mystic, LLC
• Leticia Moedano, MD
• Kevin Moeller, LMSW
• Alexandrea N Moffett, MS.CCC-SLP

• Speech-Language Pathologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.