NPIMap

Organization Active NPI

New Mexico Corrections Department - HSD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1477440576
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW MEXICO CORRECTIONS DEPARTMENT - HSD
Practice address
4337 State Highway 14
Santa Fe, NM 87508-1530
Phone
(505) 629-5573
NPI assigned
Jun 20, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEW MEXICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Greg Nelson
Title
Bureau Chief
Phone
(505) 331-8562

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Social Worker 104100000X NU
Registered Nurse 163W00000X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

4337 State Highway 14
Santa Fe, NM 87508-1530

Mailing address

4337 State Highway 14
Santa Fe, NM 87508-1530
Phone (505) 629-5573

National Provider Directory

National Provider Directory
Tax ID family
Department of Health Public Health Division43 organizations share this tax ID, including this one
Part of
Department of Health Public Health Division

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

4337 State Highway 14
Santa Fe, NM 87508
Phone (505) 629-5573

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1477440576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 STATE HIGHWAY 14",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081530",
            "telephone_number": "505-629-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 STATE HIGHWAY 14",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081530",
            "telephone_number": "505-629-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO CORRECTIONS DEPARTMENT - HSD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW MEXICO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "BUREAU CHIEF",
        "authorized_official_telephone_number": "505-331-8562"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.