Organization Active NPI

Zia Infused Wellness

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1639746449
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZIA INFUSED WELLNESS
Practice address
4824 McMahon Blvd NW
Ste 107
Albuquerque, NM 87114
Phone
(505) 890-8955
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Kimberlee Elizabeth Tafoya, CNP
Title
CNP/ Owner
Phone
(505) 890-8955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4824 McMahon Blvd NW
Ste 107
Albuquerque, NM 87114

Mailing address

3705 Ellison Dr. NW
Ste B-1 #114
Albuquerque, NM 87114
Phone (505) 890-8955

National Provider Directory

National Provider Directory
Tax ID family
Zia Infused Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4824 McMahon Blvd NW
Ste 107
Albuquerque, NM 87114
Phone (505) 890-8955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23676/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1639746449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ELLISON DR. NW",
            "address_2": "STE B-1 #114",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-890-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW",
            "address_2": "STE 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-890-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA INFUSED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CNP/ OWNER",
        "authorized_official_telephone_number": "505-890-8955",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jun 9, 2021; 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.