Active NPI
New Dawn Psychiatric Services, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Espanola, NM
National Provider Identifier
1619600236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NEW DAWN PSYCHIATRIC SERVICES, LLC
- Practice address
- 1308 N Orchard
Espanola, NM 87532-3232 - Phone
- (505) 927-0157
- NPI assigned
- Jul 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffin Marie Zellers, DNP
- Title
- Owner
- Phone
- (505) 927-0157
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1308 N Orchard
Espanola, NM 87532-3232
Mailing address
1308 N Orchard
Espanola, NM 87532-3232
Phone (505) 927-0157
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Espanola, NM
- NPI 1205433802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662163200000",
"number": "1619600236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 N ORCHARD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323232",
"telephone_number": "505-927-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 N ORCHARD",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323232",
"telephone_number": "505-927-0157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DAWN PSYCHIATRIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2022-09-03",
"certification_date": "2022-09-03",
"status": "A",
"authorized_official_last_name": "ZELLERS",
"authorized_official_first_name": "TIFFIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-927-0157",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.