Raven Joyce Harley, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

DOM1279 Issued in NM

Practice address

3908 Juan Tabo Blvd NE
Albuquerque, NM 87111-3971

Phone

(505) 933-0355

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Rhizome Health, LLC

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1518641091
  NPD Authorized official

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1306504014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9719 CANDELARIA RD NE UNIT 21851",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871542280",
            "telephone_number": "505-933-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113971",
            "telephone_number": "505-933-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9022 Woodland Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871122211",
            "country_code": "US",
            "telephone_number": "505-933-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "RAVEN",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "DOM1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzana M. Harji, MD
• Michelle Harkins, MD
• Joyce M Harkwell, LPCC
• Elizabeth Harley, LMHC
• Karen Michelle Harley, OT, CHT
• Blenda Ann Harlow, B.S.
• John David Harlow, PH.D.
• Richard Morgan Harlyn, CNP
• Ashton Harman
• Melissa Harman

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.