Organization Active NPI

Integrative & Personalized Hormone Therapy, LLC

  • Women's Health Nurse Practitioner
  • Santa Teresa, NM
National Provider Identifier
1346784287
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
INTEGRATIVE & PERSONALIZED HORMONE THERAPY, LLC
Practice address
5290 McNutt Rd Ste 105
Santa Teresa, NM 88008-9648
Phone
(575) 502-3303
Fax
(575) 205-0254
NPI assigned
Dec 12, 2016
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Christina Blanco, DNP, APRNNPI 1013095538
Title
Owner
Phone
(915) 217-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU Primary

Addresses

Primary practice location

5290 McNutt Rd Ste 105
Santa Teresa, NM 88008-9648

Mailing address

5290 McNutt Rd Ste 105
Santa Teresa, NM 88008-9648
Phone (575) 502-3303

Other identifiers 1

IdentifierTypeStateIssuer
CNP-02155OtherNMMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1300 Country Club Rd
Ste A
Santa Teresa, NM 88008
Phone (915) 217-9300

5290 McNutt Rd
Ste 106
Santa Teresa, NM 88008
Phone (575) 502-3303

5290 McNutt Rd
Ste 105
Sunland Park, NM 88008
Phone (575) 502-3303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1346784287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD STE 105",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089648",
            "telephone_number": "575-502-3303",
            "fax_number": "575-205-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD STE 105",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089648",
            "telephone_number": "575-502-3303",
            "fax_number": "575-205-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE & PERSONALIZED HORMONE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-217-9300",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "CNP-02155",
            "state": "NM"
        }
    ],
    "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 Nov 20, 2025; 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.