NPIMap

Organization Active NPI

Family Practice Associates of Taos

  • Physiological Laboratory
  • Taos, NM
National Provider Identifier
1407195233
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
FAMILY PRACTICE ASSOCIATES OF TAOS
Practice address
630 Paseo del Pueblo Sur Ste 150
Taos, NM 87571-7002
Phone
(575) 758-3005
Fax
(575) 758-7010
NPI assigned
Feb 14, 2013
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY PRACTICE ASSOCIATES OF TAOSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Lawrence Schreiber, M.D.
Title
Partner
Phone
(575) 758-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

630 Paseo del Pueblo Sur Ste 150
Taos, NM 87571-7002

Mailing address

630 Paseo del Pueblo Sur Ste 150
Taos, NM 87571-7002
Phone (575) 758-3005

Other identifiers 1

IdentifierTypeStateIssuer
46268MedicaidNM

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0706166Family Practice Associates of Taos630 Paseo del Pueblo Sur Suite 150, Taos, NM 87571Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory
Part of
Family Practice Associates of Taos

Locations

630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2635/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1407195233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR STE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717002",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR STE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717002",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES OF TAOS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PRACTICE ASSOCIATES OF TAOS",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "575-758-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46268",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.