Organization Active NPI

Ola Salud Healthcare

  • Acute Care Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1386031797
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP 02038 Issued in NM
Legal business name
OLA SALUD HEALTHCARE
Practice address
4001 Office Court Drive
801
Santa Fe, NM 87507
Phone
(505) 504-5744
Fax
(866) 710-4565
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Liana Kealohilani Martinez, CNP
Title
Nurse Practitioner
Phone
(505) 504-5744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X CNP 02038 NM Primary

Addresses

Primary practice location

4001 Office Court Drive
801
Santa Fe, NM 87507

Mailing address

6028 Cardigan CT. NW
Albuquerque, NM 87120
Phone (505) 504-5744

Other identifiers 1

IdentifierTypeStateIssuer
73588245MedicaidNM

National Provider Directory

National Provider Directory

Locations

4001 Office Court Dr
Ste 801
Santa Fe, NM 87507
Phone (505) 504-5744

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1386031797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 CARDIGAN CT. NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-504-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DRIVE",
            "address_2": "801",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-504-5744",
            "fax_number": "866-710-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA SALUD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "KEALOHILANI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-504-5744",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP 02038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73588245",
            "state": "NM"
        }
    ],
    "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 Apr 23, 2015; 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.