Taos Comprehensive Health Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TAOS COMPREHENSIVE HEALTH CORPORATION

Doing business as

ultiMED Rio Rancho

Practice address

7555 Enchanted Hills Blvd NE
Rio Rancho, NM 87144-8625

Phone

(505) 771-9833

Fax

(505) 771-9834

NPI assigned

Aug 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lesa D Fraker, MDNPI 1164489613

Title

President

Phone

(505) 989-8707

Specialties & licenses 1

Addresses

Other names 1

• ultiMED Rio Rancho Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesa Deanne Fraker, MD PHD

  • Emergency Medicine Physician
  • Santa Fe, NM
  • NPI 1164489613
  NPD Authorized official

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1396051835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PASEO DE PERALTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011922",
            "telephone_number": "505-989-8707",
            "fax_number": "505-989-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 ENCHANTED HILLS BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871448625",
            "telephone_number": "505-771-9833",
            "fax_number": "505-771-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS COMPREHENSIVE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "FRAKER",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-989-8707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ultiMED Rio Rancho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura M Taber, PHD, RD, LD
• Valerie Pauline Tafoya, RN
• Angela Tafuro
• Briana Talbert
• Zach D Talkovic, BMS
• Felicia M Tapia-Alvidrez, LCSW
• Mariah Lynn Tapia
• Mike Jerry Tapia, LMHC
• Tara Wharem LCSW LLC
• Adyson Rose Tarry

• Urgent Care Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Urgent Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.