Mountain Sage Medico

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MOUNTAIN SAGE MEDICO

Practice address

1660 Old Pecos TRL Ste F
Santa Fe, NM 87505-4768

Phone

(505) 472-7243

Fax

(505) 472-7244

NPI assigned

Jun 6, 2022

Last updated

Sep 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Barrett, APRN-CNP

Title

Owner

Phone

(505) 472-7243

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1326777418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 OLD PECOS TRL STE F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054768",
            "telephone_number": "505-472-7243",
            "fax_number": "505-472-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OLD PECOS TRL STE F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054768",
            "telephone_number": "505-472-7243",
            "fax_number": "505-472-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SAGE MEDICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-472-7243",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Andrew Moser
• Natalia Carr Moss, PH.D.
• Mountain Air Pulmonary Medicine
• Mountain Meadow Therapy
• Mountain Presence Counseling
• Karla Angela Moya-Crites, NP
• Precious Marie Moya-Mier
• Anthony R Moya, LCSW
• Bonnie C Moya, MA, LMHC
• Diana J Moya, R.PH

• Rheumatology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Rheumatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.