Active NPI
David A Raskin
- Nurse Practitioner
- Taos, NM
National Provider Identifier
1457382160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R11351
- Practice address
- 1399 Weimer Raod
Suite 200
Taos, NM 87571 - Phone
- (505) 758-2224
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R11351 | NM | Primary |
Addresses
Primary practice location
1399 Weimer Raod
Suite 200
Taos, NM 87571
Mailing address
1397 Weimer Rd
Taos, NM 87571-6284
Phone (505) 758-2224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11351 | NM | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457382160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716284",
"telephone_number": "505-758-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 WEIMER RAOD",
"address_2": "SUITE 200",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASKIN",
"first_name": "DAVID",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R11351",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.