New Self Love Foundation . Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2962215 Issued in NM

Legal business name

NEW SELF LOVE FOUNDATION . INC

Practice address

123 Pawhuska Drive
Timberon, NM 88350

Phone

(575) 987-2719

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Marguerita Gaspard

Title

C.E.O.

Phone

(575) 987-2719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1598067183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 166",
            "address_2": "123 PAWHUSKA DRIVE",
            "city": "TIMBERON",
            "state": "NM",
            "postal_code": "88350",
            "telephone_number": "575-987-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PAWHUSKA DRIVE",
            "city": "TIMBERON",
            "state": "NM",
            "postal_code": "88350",
            "telephone_number": "575-987-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SELF LOVE FOUNDATION . INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GASPARD",
        "authorized_official_first_name": "MARGUERITA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "575-987-2719",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "2962215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Gillette-Narvaez, PVS
• Mountain Top Ultrasound LLC

• All providers in Timberon, NM
• Health Maintenance Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.