NPIMap

Organization Active NPI

Pueblo of Zuni Audiology Program

  • Audiologist
  • Zuni, NM
National Provider Identifier
1386882553
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
057 Issued in NM
Legal business name
PUEBLO OF ZUNI AUDIOLOGY PROGRAM
Practice address
1203B State Highway 53
Zuni, NM 87327
Phone
(505) 782-7232
Fax
(505) 782-7241
NPI assigned
Jan 27, 2009
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mr. Norman Cooeyate
Title
Governor of Zuni Pueblo
Phone
(505) 782-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 057 NM Primary

Addresses

Primary practice location

1203B State Highway 53
Zuni, NM 87327

Mailing address

PO Box 339
Zuni, NM 87327-0339
Phone (505) 782-7232

Other identifiers 1

IdentifierTypeStateIssuer
96083867MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Pueblo of Zuni Optical Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1386882553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270339",
            "telephone_number": "505-782-7232",
            "fax_number": "505-782-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203B STATE HIGHWAY 53",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "87327",
            "telephone_number": "505-782-7232",
            "fax_number": "505-782-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO OF ZUNI AUDIOLOGY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "COOEYATE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "GOVERNOR OF ZUNI PUEBLO",
        "authorized_official_telephone_number": "505-782-7022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96083867",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zuni, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.