Organization Active NPI

Sandra L Shuya PC

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
National Provider Identifier
1316339948
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CNP-02567 Issued in NM
Legal business name
SANDRA L SHUYA PC
Practice address
1245 Country Club Rd
Ste. 200
Santa Teresa, NM 88008-9743
Phone
(915) 235-7676
Fax
(915) 243-6006
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Sandra Shuya, MSN
Title
President
Phone
(915) 235-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CNP-02567 NM Primary

Addresses

Primary practice location

1245 Country Club Rd
Ste. 200
Santa Teresa, NM 88008-9743

Mailing address

1245 Country Club Rd
Ste. 200
Santa Teresa, NM 88008-9743
Phone (915) 235-7676

Other identifiers 1

IdentifierTypeStateIssuer
1932478955OtherTXNPI

National Provider Directory

National Provider Directory

Locations

1245 Country Club Rd
Ste 200
Santa Teresa, NM 88008
Phone (575) 332-4633

1245 Country Club Rd
Ste 2
Santa Teresa, NM 88008
Phone (575) 332-4633

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1316339948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 COUNTRY CLUB RD",
            "address_2": "STE. 200",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089743",
            "telephone_number": "915-235-7676",
            "fax_number": "915-243-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 COUNTRY CLUB RD",
            "address_2": "STE. 200",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089743",
            "telephone_number": "915-235-7676",
            "fax_number": "915-243-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L SHUYA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "SHUYA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-235-7676",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "CNP-02567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932478955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.