Active NPI
Anastasia Tsiagkouris
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Los Alamos, NM
National Provider Identifier
1326625633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 2947
- Practice address
- 2947 Woodland Rd
Los Alamos, NM 87544-1507 - Phone
- (505) 699-3973
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 2947 | NM | Primary |
Addresses
Primary practice location
2947 Woodland Rd
Los Alamos, NM 87544-1507
Mailing address
2947 Woodland Rd
Los Alamos, NM 87544-1507
Phone (505) 699-3973
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2947 | NM | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1326625633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2947 WOODLAND RD",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875441507",
"telephone_number": "505-699-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2947 WOODLAND RD",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875441507",
"telephone_number": "505-699-3973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSIAGKOURIS",
"first_name": "ANASTASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NM",
"license": "2947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.