Individual provider Active NPI

Jonathan Caleb Tovar, BSN-RN

  • General Practice Registered Nurse
  • Sunland Park, NM
National Provider Identifier
1407737414
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
82034 Issued in NM
Practice address
512 La Entrada Cir
Sunland Park, NM 88063-9633
Phone
(915) 478-2440
NPI assigned
Sep 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 82034 NM
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 82034 NM
Administrator Registered Nurse 163WA2000X 82034 NM
Critical Care Medicine Registered Nurse 163WC0200X 82034 NM
Community Health Registered Nurse 163WC1500X 82034 NM
Home Health Registered Nurse 163WH0200X 82034 NM
Infusion Therapy Registered Nurse 163WI0500X 82034 NM
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 82034 NM
Psychiatric/Mental Health Registered Nurse 163WP0808X 82034 NM
Wound Care Registered Nurse 163WW0000X 82034 NM
General Practice Registered Nurse 163WG0000X 82034 NM Primary

Addresses

Primary practice location

512 La Entrada Cir
Sunland Park, NM 88063-9633

Mailing address

512 La Entrada Cir
Sunland Park, NM 88063-9633
Phone (915) 478-2440

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

LicenseStateTypeSpecialty
82034NMMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Health and Behavioral Services General Practice CurrentSince Sep 14, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1407737414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 LA ENTRADA CIR",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639633",
            "telephone_number": "915-478-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 LA ENTRADA CIR",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639633",
            "telephone_number": "915-478-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "JONATHAN",
        "middle_name": "CALEB",
        "credential": "BSN-RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NM",
            "license": "82034",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "82034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland Park, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.