Tele-Peds LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TELE-PEDS LLC

Practice address

1704 Llano St Ste B
Santa Fe, NM 87505-5415

Phone

(757) 667-8898

NPI assigned

May 27, 2020

Last updated

May 27, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Misha Harris, NPNPI 1427410653

Title

Co-Founder

Phone

(757) 667-8898

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22000/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Misha Harris, CPNP

  • Critical Care Pediatric Nurse Practitioner
  • Santa Fe, NM
  • NPI 1427410653
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1457974222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST",
            "address_2": "STE B - POB: 1414",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415",
            "telephone_number": "757-667-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE-PEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "757-667-8898",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tele-peds.com",
            "affiliation": "N",
            "endpointDescription": "integrated EHR and telemedicine platform with patient portal",
            "address_1": "1704 Llano St Ste B",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875055415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Teletherapeutics Health Inc
• Lucila Telles Rudge
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• Ashlyn Tenorio
• Carla Jeanne Tenorio, LMSW

• Pediatrics Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.