Active NPI
Sandra L Shuya PC
- Community/Behavioral Health Agency
- Santa Teresa, NM
National Provider Identifier
1316339948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CNP-02567
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932478955 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
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.