Individual provider Active NPI

Beaver Toya North Cloud, BA SOCIAL SCIENCE

  • Case Manager/Care Coordinator
  • Albuquerque, NM
National Provider Identifier
1407105752
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1104 Palomas Dr SE
Apt. 1
Albuquerque, NM 87108-5541
Phone
(505) 269-6767
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1104 Palomas Dr SE
Apt. 1
Albuquerque, NM 87108-5541

Mailing address

1104 Palomas Dr SE
Apt. 1
Albuquerque, NM 87108-5541
Phone (505) 269-6767

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1407105752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 PALOMAS DR SE",
            "address_2": "APT. 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085541",
            "telephone_number": "505-269-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 PALOMAS DR SE",
            "address_2": "APT. 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085541",
            "telephone_number": "505-269-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH CLOUD",
        "first_name": "BEAVER",
        "middle_name": "TOYA",
        "name_prefix": "Ms.",
        "credential": "BA SOCIAL SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.