Lifecare Health & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP00519 Issued in NM

Legal business name

LIFECARE HEALTH & WELLNESS

Practice address

130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863

Phone

(505) 989-3236

Fax

(505) 989-5079

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Renso Selim Campos Sandoval

Title

Single Member

Phone

(505) 603-8099

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1669866463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 GLORY LN",
            "city": "GLORIETA",
            "state": "NM",
            "postal_code": "875357086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SIRINGO RD",
            "address_2": "SUITE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055863",
            "telephone_number": "505-989-3236",
            "fax_number": "505-989-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CAMPOS SANDOVAL",
        "authorized_official_first_name": "RENSO",
        "authorized_official_middle_name": "SELIM",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "505-603-8099"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00519",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Lieblein
• Kristen Lieving, LMSW
• Life Choice Hospice of New Mexico, LLC
• Life Circle
• Life Enhancement Chiropractic, Inc.
• Lifecare Health Services LLC
• Lifeskills Physical Therapy and Rehabilitation, LLC
• Lifespan Therapy Services, Inc.
• Lifesphere LLC
• Lifted Clinical Practice, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.