Occupational Medicine 360

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

03239181001 Issued in NM

Legal business name

OCCUPATIONAL MEDICINE 360

Practice address

2525 S. Telshor Blvd BLDG. 16 Ste.106
Las Cruces, NM 88011

Phone

(575) 496-5551

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Katy Louise Wamel-Petermeier

Title

Owner

Phone

(575) 496-5551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1497021257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S. TELSHOR BLVD BLDG. 16 STE.106",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-496-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S. TELSHOR BLVD BLDG. 16 STE.106",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-496-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "WAMEL-PETERMEIER",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-496-5551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NM",
            "license": "03239181001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinyelu Chimezie Obi, LCSW
• Alyssya Obregon, MA., CCC-SLP
• Deborah Ann Ocallaghan, LISW
• Lesly Ocana
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Gabriela C Ochoa, PEER SUPPORT WORKER
• Kathy Ochoa
• Monica Ochoa
• Savonne Ochoa
• Claudia Ivette Ocon

• Exclusive Provider Organization in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Exclusive Provider Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.