Active NPI
Clara F Hardgrave
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1417333584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2901
- Practice address
- 417 15TH St SW
Albuquerque, NM 87104-1062 - Phone
- (505) 259-0869
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2901 | NM | Primary |
Addresses
Primary practice location
417 15TH St SW
Albuquerque, NM 87104-1062
Mailing address
417 15TH St SW
Albuquerque, NM 87104-1062
Phone (505) 259-0869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901 | Other | NM | BOARD OF EXAMINERS FOR OCCUPATIONAL THERAPY LICENSE |
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 |
|---|---|---|---|
| 2901 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Regional Education Cooperative | Past | 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.
-
- Local Education Agency (LEA)
- Deming, NM
- NPI 1114081858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1417333584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 15TH ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041062",
"telephone_number": "505-259-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 15TH ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041062",
"telephone_number": "505-259-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDGRAVE",
"first_name": "CLARA",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF EXAMINERS FOR OCCUPATIONAL THERAPY LICENSE",
"identifier": "2901",
"state": "NM"
}
],
"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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.