Active NPI
Victor Sanchez, REGISTERED NURSE
- Registered Nurse
- Sunland Park, NM
National Provider Identifier
1477025690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-88717
- Practice address
- 3465 McNutt Rd
Sunland Park, NM 88063-9056 - Phone
- (575) 915-1338
- Fax
- (575) 915-1819
- NPI assigned
- Dec 28, 2018
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN-88717 | NM | |
| Diabetes Educator Registered Nurse | 163WD0400X | RN-88717 | NM | |
| General Practice Registered Nurse | 163WG0000X | RN-88717 | NM | |
| Pain Management Registered Nurse | 163WP0000X | RN-88717 | NM | |
| Pediatric Registered Nurse | 163WP0200X | RN-88717 | NM | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN-88717 | NM | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN-88717 | NM | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN-88717 | NM | |
| Rehabilitation Registered Nurse | 163WR0400X | RN-88717 | NM | |
| Wound Care Registered Nurse | 163WW0000X | RN-88717 | NM | |
| Registered Nurse | 163W00000X | RN-88717 | NM | Primary |
Addresses
Primary practice location
3465 McNutt Rd
Sunland Park, NM 88063-9056
Mailing address
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NM |
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 |
|---|---|---|---|
| RN-88717 | NM | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1477025690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639056",
"telephone_number": "575-915-1338",
"fax_number": "575-915-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639056",
"telephone_number": "575-915-1338",
"fax_number": "575-915-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "VICTOR",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NM",
"license": "RN-88717",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-88717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunland Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.