Active NPI
Samuuel Morales, RN
- Registered Nurse
- Espanola, NM
National Provider Identifier
1457784910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN77327
- Practice address
- 208 Guachpangue Rd
Espanola, NM 87532-3424 - Phone
- (505) 747-8187
- Fax
- (505) 747-8306
- NPI assigned
- Aug 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN77327 | NM | Primary |
Addresses
Primary practice location
208 Guachpangue Rd
Espanola, NM 87532-3424
Mailing address
208 Guachpangue Rd
Espanola, NM 87532-3424
Phone (505) 747-8187
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN77327 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1457784910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 GUACHPANGUE RD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323424",
"telephone_number": "505-747-8187",
"fax_number": "505-747-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 GUACHPANGUE RD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323424",
"telephone_number": "505-747-8187",
"fax_number": "505-747-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "SAMUUEL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN77327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.