Active NPI
Joshua Paul Fladger
- Peer Specialist
- Santa Fe, NM
National Provider Identifier
1336964105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1770
- Practice address
- 1316 Apache Ave
Santa Fe, NM 87505-3212 - Phone
- (480) 255-4766
- NPI assigned
- Nov 18, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1770 | NM | Primary |
Addresses
Primary practice location
1316 Apache Ave
Santa Fe, NM 87505-3212
Mailing address
20548 Ventura Blvd Apt 407
Woodland Hills, CA 91364-6472
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 |
|---|---|---|---|
| 1770 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1336964105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20548 VENTURA BLVD APT 407",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913646472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 APACHE AVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053212",
"telephone_number": "480-255-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLADGER",
"first_name": "JOSHUA",
"middle_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "1770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.