Active NPI
Renee Earhart
- Day Training/Habilitation Specialist
- Albuquerque, NM
National Provider Identifier
1437430279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 701 Stephen Moody St SE
Apt. 1436
Albuquerque, NM 87123-1992 - Phone
- (505) 433-3773
- NPI assigned
- Sep 7, 2011
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
701 Stephen Moody St SE
Apt. 1436
Albuquerque, NM 87123-1992
Mailing address
701 Stephen Moody St SE
Apt. 1436
Albuquerque, NM 87123-1992
Phone (505) 433-3773
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1437430279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 STEPHEN MOODY ST SE",
"address_2": "APT. 1436",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871231992",
"telephone_number": "505-433-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 STEPHEN MOODY ST SE",
"address_2": "APT. 1436",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871231992",
"telephone_number": "505-433-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARHART",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.