Individual provider Active NPI

Itzel Elena Soltero, LMSW

  • Social Worker
  • Las Cruces, NM
National Provider Identifier
1548617939
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-09506 Issued in NM
Practice address
2775 N Roadrunner Pkwy
3906
Las Cruces, NM 88011-8112
Phone
(575) 652-1815
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-09506 NM Primary

Addresses

Primary practice location

2775 N Roadrunner Pkwy
3906
Las Cruces, NM 88011-8112

Mailing address

2775 N Roadrunner Pkwy
3906
Las Cruces, NM 88011-8112
Phone (575) 652-1815

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

State licenses

LicenseStateTypeSpecialty
X-09506NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1548617939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 N ROADRUNNER PKWY",
            "address_2": "3906",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118112",
            "telephone_number": "575-652-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 N ROADRUNNER PKWY",
            "address_2": "3906",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118112",
            "telephone_number": "575-652-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTERO",
        "first_name": "ITZEL",
        "middle_name": "ELENA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-09506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.