San Juan Wellness Services Inc

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

SAN JUAN WELLNESS SERVICES INC

Doing business as

Fit4Ever

Practice address

110 E Apache St
Farmington, NM 87401-6902

Phone

(505) 564-7980

Fax

(505) 564-7956

NPI assigned

Jun 15, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Crotty

Title

Ceo

Phone

(505) 564-7980

Specialties & licenses 1

Addresses

Other names 1

• FIT4EVER Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kami Calder, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1609252071
  NPD (past)
• Melissa Kate Miller, DTR E

  • Nutritionist
  • Farmington, NM
  • NPI 1831575117
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1487035515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016902",
            "telephone_number": "505-564-7980",
            "fax_number": "505-564-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016902",
            "telephone_number": "505-564-7980",
            "fax_number": "505-564-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "CROTTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-564-7980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIT4EVER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Juan Regional Medical Center, Inc.
• San Juan Regional Medical Center, Inc. (SJHP Physiatry)
• San Juan Regional Rehabilitation Hospital, Inc.
• San Juan Surgical Associates
• San Juan Surgical, LLC
• Gina Sanchez
• James Patrick Sanchez
• Mark Sanchez, LADAC,LCDC,ICADC,CAC
• Stacy Sandel
• Kyle Wesley Sanders, M.D.

• Health Educator in Farmington, NM
• Providers in Farmington, NM by specialty
• Health Educator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.