Individual provider Active NPI

Lilly-Marie Maita Blecher, N.D., DOM

  • Acupuncturist
  • Taos, NM
National Provider Identifier
1306090907
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1102 Issued in NM
Practice address
1337 Gusdorf Rd Ste O
Taos, NM 87571-6298
Phone
(575) 776-7806
Fax
(575) 613-7161
NPI assigned
Nov 9, 2008
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1102 NM Primary

Addresses

Primary practice location

1337 Gusdorf Rd Ste O
Taos, NM 87571-6298

Mailing address

1337 Gusdorf Rd Ste O
Taos, NM 87571-6298
Phone (575) 776-7806

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

LicenseStateTypeSpecialty
1102NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lilly-marie.blecher.1@17440.direct.athenahealth.com

Organizations & group practices 4

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": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1306090907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE O",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716298",
            "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 STE O",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716298",
            "telephone_number": "575-776-7806",
            "fax_number": "575-613-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHER",
        "first_name": "LILLY-MARIE",
        "middle_name": "MAITA",
        "name_prefix": "Dr.",
        "credential": "N.D., DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.