Active NPI
Partners in Wellness, LLC
- Community/Behavioral Health Agency
- Los Lunas, NM
National Provider Identifier
1316173917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PARTNERS IN WELLNESS, LLC
- Practice address
- 750 Morris Road SW
Los Lunas, NM 87031 - Phone
- (505) 866-2300
- Fax
- (505) 866-2309
- NPI assigned
- Jun 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Victoria M. Mora
- Title
- Billing Specialist
- Phone
- (505) 866-2303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NM | Primary |
Addresses
Primary practice location
750 Morris Road SW
Los Lunas, NM 87031
Mailing address
750 Morris Road SW
Los Lunas, NM 87031
Phone (505) 866-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36726575 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347580800000",
"number": "1316173917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MORRIS ROAD SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-866-2300",
"fax_number": "505-866-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORRIS ROAD SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-866-2300",
"fax_number": "505-866-2309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-09",
"last_updated": "2012-09-14",
"status": "A",
"authorized_official_last_name": "MORA",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "505-866-2303",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36726575",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.