Individual provider Active NPI

Elizabeth Truchon

  • Occupational Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1619739802
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA4474 Issued in NM
Practice address
5901 Ermemin Ave NW
Albuquerque, NM 87114-5996
Phone
(505) 219-1260
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA4474 NM Primary

Addresses

Primary practice location

5901 Ermemin Ave NW
Albuquerque, NM 87114-5996

Mailing address

5901 Ermemin Ave NW
Albuquerque, NM 87114-5996
Phone (505) 219-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA4474NMMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arrows Developmental Support and Pediatric Therapy Services CurrentSince Jul 28, 2024 Accepting new patients

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1619739802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 ERMEMIN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145996",
            "telephone_number": "505-219-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 ERMEMIN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145996",
            "telephone_number": "505-219-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCHON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OTA4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.