Studio VSC Preventive Health Maintenance of the Feet

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CO039083 Issued in NM

Legal business name

STUDIO VSC PREVENTIVE HEALTH MAINTENANCE OF THE FEET

Practice address

910 8TH St SW
Albuquerque, NM 87102-4006

Phone

(505) 516-9869

NPI assigned

Apr 15, 2016

Last updated

Apr 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia S Chavira, R.C

Title

Registered Cosmetologist

Phone

(505) 516-9869

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1639523699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 8TH ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024006",
            "telephone_number": "505-516-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 8TH ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024006",
            "telephone_number": "505-516-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO VSC PREVENTIVE HEALTH MAINTENANCE OF THE FEET",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHAVIRA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTERED COSMETOLOGIST",
        "authorized_official_telephone_number": "505-516-9869",
        "authorized_official_credential": "R.C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "CO039083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FEDERAL SYSTEM OF AWARD MANAGEMENT BELOW IS DUNS # HERE IS CAGE CODE 7KCN9",
            "identifier": "080160135",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Stubbs
• Dawn Stuckwisch, MD
• Michael C Stucky, MD
• Melissa Rene Studebaker, MA, BCBA, LBA
• Student Health and Counseling
• Hanna Stueck
• Kathryn J Stuenkel, M.D.
• Daniel L. Stulberg, MD
• Johanna Sturdy, PT
• Michelle Sturgess

• Health Maintenance Organization in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Health Maintenance Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.