Active NPI
Haruhauani Spruce, MD
- Family Medicine Physician
- T Or C, NM
National Provider Identifier
1477546463
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 18, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2002-0475
- Practice address
- 455 S Foch St
T Or C, NM 87901-3331 - Phone
- (575) 894-4000
- Fax
- (404) 601-2761
- NPI assigned
- Aug 25, 2005
- Last updated
- Feb 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002-0475 | NM | Primary |
Addresses
Primary practice location
455 S Foch St
T Or C, NM 87901-3331
Mailing address
455 S Foch St
T Or C, NM 87901-3331
Phone (575) 894-4000
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329523200000",
"number": "1477546463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S FOCH ST",
"city": "T OR C",
"state": "NM",
"postal_code": "879013331",
"telephone_number": "575-894-4000",
"fax_number": "404-601-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S FOCH ST",
"city": "T OR C",
"state": "NM",
"postal_code": "879013331",
"telephone_number": "575-894-4000",
"fax_number": "404-601-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRUCE",
"first_name": "HARUHAUANI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2012-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "2002-0475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in T Or C, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.