Individual provider Active NPI

Cheryl Hanstedt, RN

  • School Registered Nurse
  • Farmington, NM
National Provider Identifier
1356010599
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN.0096683 Issued in NM
Practice address
3401 E 30TH St Ste 4
Farmington, NM 87402-8805
Phone
(970) 599-8609
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN.0096683 NM Primary

Addresses

Primary practice location

3401 E 30TH St Ste 4
Farmington, NM 87402-8805

Mailing address

4880 County Road 134
Hesperus, CO 81326-9573
Phone (970) 759-1840

Other identifiers 1

IdentifierTypeStateIssuer
RN.0099683MedicaidCO

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.0096683NMMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1356010599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 COUNTY ROAD 134",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269573",
            "telephone_number": "970-759-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E 30TH ST STE 4",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028805",
            "telephone_number": "970-599-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSTEDT",
        "first_name": "CHERYL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN.0096683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN.0099683",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.