Individual provider Active NPI

Anna M Rider, MFA, CMA

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1609047703
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-12089 Issued in NM
Practice address
1421 Luisa St Ste O
Santa Fe, NM 87505-4073
Phone
(505) 690-8618
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-12089 NM Primary

Addresses

Primary practice location

1421 Luisa St Ste O
Santa Fe, NM 87505-4073

Mailing address

2849 Vereda de Pueblo
Santa Fe, NM 87507-5361
Phone (505) 690-8618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914003934 NM Practitioner - Clinical Social Worker 2365827177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1421 Luisa St
Suite O
Santa Fe, NM 87505-4073
Phone (505) 690-8618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Medical Assistant, Master of Fine Arts

State licenses

LicenseStateTypeSpecialty
C-12089NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Rider LLC Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

1421 Luisa St
Ste O
Santa Fe, NM 87505
Phone (505) 428-9086

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1609047703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 VEREDA DE PUEBLO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075361",
            "telephone_number": "505-690-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-690-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "MFA, CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.