Active NPI
Kristen Graser, LM, CPM
- Midwife
- Taos, NM
National Provider Identifier
1447359161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 05015R
- Practice address
- 1331 Maestas Rd
Taos, NM 87571-6268 - Phone
- (505) 758-1216
- Fax
- (505) 758-2683
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 05015R | NM | Primary |
Addresses
Primary practice location
1331 Maestas Rd
Taos, NM 87571-6268
Mailing address
1331 Maestas Rd
Taos, NM 87571-6268
Phone (505) 758-1216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM006D12 | Other | NM | BLUECROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 05015R | NM | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447359161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 MAESTAS RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716268",
"telephone_number": "505-758-1216",
"fax_number": "505-758-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 MAESTAS RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716268",
"telephone_number": "505-758-1216",
"fax_number": "505-758-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASER",
"first_name": "KRISTEN",
"credential": "LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NM",
"license": "05015R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "NM006D12",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.