Active NPI
Damani Tryon PSR
- Behavior Technician
- Rio Rancho, NM
National Provider Identifier
1467975763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 184 Unser Blvd NE
Rio Rancho, NM 87124-4045 - Phone
- (505) 896-0928
- NPI assigned
- Jul 19, 2017
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Mailing address
184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Other practice location 1
5601 Domingo RD NE
Albuquerque, NM 87102
Phone (505) 268-5295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467975763 | Medicaid | NM |
Other names 1
- Ms. Damani Hoffman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | damani.tryon@pmsnm.org |
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": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1467975763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 UNSER BLVD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 UNSER BLVD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244045",
"telephone_number": "505-896-0928"
}
],
"practiceLocations": [
{
"address_1": "5601 Domingo RD NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87102",
"country_code": "US",
"telephone_number": "505-268-5295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRYON PSR",
"first_name": "DAMANI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467975763",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "damani.tryon@pmsnm.org",
"affiliation": "N",
"address_1": "184 Unser Blvd NE",
"city": "Rio Rancho",
"state": "NM",
"country_code": "US",
"postal_code": "871244045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DAMANI",
"last_name": "HOFFMAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.