Womens Wellness Bienestar de la Mujer, LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CNP00496 Issued in NM

Legal business name

WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC

Practice address

1331 Maestas Rd
Taos, NM 87571-6268

Phone

(575) 613-6118

Fax

(866) 521-1434

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Coral D. Pitkin, CNP

Title

Owner

Phone

(575) 613-6118

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1578862975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2286",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875572286",
            "telephone_number": "575-613-6118",
            "fax_number": "866-521-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716268",
            "telephone_number": "575-613-6118",
            "fax_number": "866-521-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "PITKIN",
        "authorized_official_first_name": "CORAL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-613-6118",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "CNP00496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Wingfield, CASE MANAGER
• Carl Winters, CPSW
• Dan Wohl
• Sophia Wojkowski, DPT
• Women'S Health Institute
• Gary Wood
• Talia R. Wood, R.D.
• Nicholas S Woodall, CASE MANAGER
• Margaret E Wooldridge, RD, LD
• Katherine M Worman, FSS

• Women's Health Nurse Practitioner in Taos, NM
• Providers in Taos, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.