Individual provider Active NPI

Karla Angela Moya-Crites, NP

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1649742966
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54768 Issued in NM
Practice address
421 Saint Michaels Dr
Santa Fe, NM 87505
Phone
(505) 992-3334
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 54768 NM Primary

Addresses

Primary practice location

421 Saint Michaels Dr
Santa Fe, NM 87505

Mailing address

PO Box 4611
Santa Fe, NM 87502-4611
Phone (505) 660-6651

Other practice location 1

421 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 992-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205002597 NM Practitioner - Nurse Practitioner 0143653188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity IncGroup PAC ID 6800987637, 3 clinicians

Practice addresses (Care Compare)

2055 S Pacheco St
Suite 300
Santa Fe, NM 87505-0504
Phone (505) 992-3334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54768NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Inc Single Specialty CurrentSince Dec 27, 2019 Accepting new patients

Locations

421 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 983-9878

2055 S Pacheco St
Ste 300
Santa Fe, NM 87505
Phone (505) 984-2300

Interoperability endpoints

  • Direct secure messaging: karla.moya-crites.1@19356.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1649742966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4611",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875024611",
            "telephone_number": "505-660-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-992-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Saint Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "87505",
            "country_code": "US",
            "telephone_number": "505-992-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYA-CRITES",
        "first_name": "KARLA",
        "middle_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "54768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.