Active NPI
Jonathan Caleb Tovar, BSN-RN
- General Practice Registered Nurse
- Sunland Park, NM
National Provider Identifier
1407737414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 82034
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 82034 | NM | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Health and Behavioral Services | General Practice | Current | 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.
-
- General Practice Registered Nurse
- Sunland Park, NM
- NPI 1871474783
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.