St Johns College Health Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ST JOHNS COLLEGE HEALTH CENTER

Practice address

1160 Camino Cruz Blanca
Santa Fe, NM 87505-4599

Phone

(505) 984-6418

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

James K Irungu

Title

Credentialing Manager

Phone

(877) 614-5227

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terese Aileen O'Neil Selvage, MN, CNP

  • Adult Health Nurse Practitioner
  • Santa Fe, NM
  • NPI 1205935004
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1649537978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CAMINO CRUZ BLANCA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054599",
            "telephone_number": "505-984-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CAMINO CRUZ BLANCA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054599",
            "telephone_number": "505-984-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS COLLEGE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "IRUNGU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "877-614-5227"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Spurgin, LCSW
• Sridasi LLC
• Ssun Health, LLC
• St Francis Health Center
• St Francis Health Center
• Monique L St Marie, PT
• Sue Kalchik St Pierre, OTR/L
• St Vincent Hospital (CHRISTUS St. Vincent Pediatrics)
• St Vincent Hospital (CHRISTUS St. Vincent Outpatient Pharmacy)
• St Vincent Hospital (CHRISTUS St. Vincent Center for Healthy Aging)

• Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.