Rita Canchucaja

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN-70138 Issued in NM

Practice address

1515 Eubank Blvd SE
Albuquerque, NM 87123-3453

Phone

(505) 845-8159

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandia National Laboratories

  • Ambulance
  • Albuquerque, NM
  • NPI 1619621232
  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1508211574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 BLUME ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EUBANK BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233453",
            "telephone_number": "505-845-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCHUCAJA",
        "first_name": "RITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NM",
            "license": "RN-70138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avrey Canales
• Elias T Canales
• Julissa Soto Canales
• Savannah Canales, RN
• Talisa Ann Canales
• Leticia Candelaria Archuleta, SW
• Virginia Candelaria-Martinez
• Analise Candelaria
• Aria Rae Candelaria, APRN-CNP
• Ashlee Anne Candelaria, MD, MPH

• Ambulatory Care Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ambulatory Care Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.