Poe Psychiatry PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP-02352 Issued in NM

Legal business name

POE PSYCHIATRY PC

Doing business as

Poe Psychiatry PC

Practice address

234 N Schwartz Ave
Farmington, NM 87401

Phone

(505) 427-0401

Fax

(505) 787-2174

NPI assigned

Jun 15, 2017

Last updated

Jun 20, 2018By 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

Cathy B Poe

Title

Ceo / Owner

Phone

(505) 427-0401

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Poe Psychiatry PC Doing business as

Locations

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1558891184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N SCHWARTZ AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015547",
            "telephone_number": "505-427-0401",
            "fax_number": "505-787-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N SCHWARTZ AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-427-0401",
            "fax_number": "505-787-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POE PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "505-427-0401"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-02352",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81905301",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poe Psychiatry PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poe Psychiatry PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.