Soar Wellness

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOAR WELLNESS

Practice address

6855 4TH St NW Ste B2
Los Ranchos, NM 87107-6100

Phone

(505) 398-9430

Fax

(505) 832-8516

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Rae Abeyta, NPNPI 1801211495

Title

Owner/Provider

Phone

(505) 398-9430

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Abeyta, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1801211495
  NPD Authorized official
• Kelly Conklin, CNP

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1053075978
  NPD

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1295407773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ACAPULCO RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446473",
            "telephone_number": "505-514-5885",
            "fax_number": "505-832-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 4TH ST NW STE B2",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076100",
            "telephone_number": "505-398-9430",
            "fax_number": "505-832-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "ABEYTA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "505-398-9430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Soarwellness.myaestheticrecord.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6855 4th St NW Ste B2",
            "city": "Los Ranchos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871076100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander George Sfakianos
• Christina Simpson
• Cynthia Marie Sjoberg, RPH
• Smalltalk LLC
• Melanie Smith, MA, LAMFT
• Something'S Moving, Inc.
• Spark Counseling LLC
• Special Concerns of Women and Children
• Ann Kimball Spencer, LMSW
• Jolene Spencer

• General Practice Physician in Los Ranchos, NM
• Providers in Los Ranchos, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.