Active NPI
Anita Bellomo
- School Social Worker
- Santa Fe, NM
National Provider Identifier
1386760734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- I-3922
- Practice address
- 1300 Camino Sierra Vis
129
Santa Fe, NM 87505-1007 - Phone
- (505) 467-2504
- Fax
- (505) 467-2646
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | I-3922 | NM | Primary |
Addresses
Primary practice location
1300 Camino Sierra Vis
129
Santa Fe, NM 87505-1007
Mailing address
2321 Sol Y Luz St
Santa Fe, NM 87505-1704
Phone (505) 474-3489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68704 | Medicaid | NM |
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 |
|---|---|---|---|
| I-3922 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Public Schools | School | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386760734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 SOL Y LUZ ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051704",
"telephone_number": "505-474-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CAMINO SIERRA VIS",
"address_2": "129",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051007",
"telephone_number": "505-467-2504",
"fax_number": "505-467-2646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOMO",
"first_name": "ANITA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "I-3922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68704",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.