White Horse Studio, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C-05502 Issued in NM

Legal business name

WHITE HORSE STUDIO, LLC

Practice address

2410 S Espina St
Las Cruces, NM 88001-5612

Phone

(915) 588-7290

Fax

(575) 613-7243

NPI assigned

May 31, 2018

Last updated

May 31, 2018By 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

Donna Gallegos

Title

Credentialling

Phone

(575) 202-0750

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Teri Allen, LISW

  • Social Worker
  • Las Cruces, NM
  • NPI 1922322403
  Medicare reassignment NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1376035873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WHITTINGTON PL",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219270",
            "telephone_number": "915-588-7290",
            "fax_number": "575-613-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S ESPINA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015612",
            "telephone_number": "915-588-7290",
            "fax_number": "575-613-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HORSE STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CREDENTIALLING",
        "authorized_official_telephone_number": "575-202-0750"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-05502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54886368",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Wharem
• Camryn Wharff
• Wheelchair and Walker Rentals, Inc
• Tricia Wheeler, R.D., L.D.
• Isobel Whipple
• Anna Louise White, CNM
• Janis J. White, M.S., CCC-SLP
• Jessica Elizabeth White, PROVISIONAL LISW
• Katelyn White
• Mary Diane Basler White

• Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.