NPIMap

Organization Active NPI

St Vincent Hospital

Doing business as CHRISTUS St. Vincent Regional Sleep Center

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Santa Fe, NM
National Provider Identifier
1508403528
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
ST VINCENT HOSPITAL
Doing business as
CHRISTUS St. Vincent Regional Sleep Center
Practice address
440 Saint Michaels Dr Ste 150
Santa Fe, NM 87505-7637
Phone
(505) 913-5363
Fax
(505) 989-6409
NPI assigned
Dec 9, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Hope Wade
Title
Coo
Phone
(928) 607-0495

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU Primary

Addresses

Primary practice location

440 Saint Michaels Dr Ste 150
Santa Fe, NM 87505-7637

Mailing address

440 Saint Michaels Dr Ste 150
Santa Fe, NM 87505-7637
Phone (505) 913-5363

Other practice location 1

11227 Macaw Ct
Windermere, FL 34786-5635
Phone (608) 347-3993

Other names 1

  • CHRISTUS St. Vincent Regional Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, FL, VA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040105000372 NM Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 425 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Santa Fe, NM; Los Alamos, NM; Albuquerque, NM; Espanola, NM; Farmington, NM; Las Vegas, NM
O20200124000988 FL Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tallahassee, FL; Boca Raton, FL; Palmetto Bay, FL; Orlando, FL; Cutler Bay, FL; Coconut Grove, FL; Babcock Ranch, FL; Land O Lakes, FL
O20200911001357 VA Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 1 practitioner
Practice locations: Brambleton, VA
O20210409001788 CA Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; San Jose, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1508403528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SAINT MICHAELS DR STE 150",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057637",
            "telephone_number": "505-913-5363",
            "fax_number": "505-989-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAINT MICHAELS DR STE 150",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057637",
            "telephone_number": "505-913-5363",
            "fax_number": "505-989-6409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11227 Macaw Ct",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347865635",
            "country_code": "US",
            "telephone_number": "608-347-3993",
            "fax_number": "407-217-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "928-607-0495"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St. Vincent Regional Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.