Individual provider Active NPI

Victor Sanchez, REGISTERED NURSE

  • Registered Nurse
  • Sunland Park, NM
National Provider Identifier
1477025690
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-88717 Issued in NM
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

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidNM

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

LicenseStateTypeSpecialty
RN-88717NMMDDiabetes 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.

Verify at the official NPI Registry.