Active NPI
Talia R. Wood, R.D.
- Registered Dietitian
- Taos, NM
National Provider Identifier
1689908147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-0623
- Practice address
- 1090 Goat Springs Road
Taos, NM 87571-1946 - Phone
- (575) 758-4224
- Fax
- (575) 751-5210
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-0623 | NM | Primary |
Addresses
Primary practice location
1090 Goat Springs Road
Taos, NM 87571-1946
Mailing address
P.O. Box 1946
1090 Goat Springs Road
Taos, NM 87571-1946
Phone (575) 758-4224
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8HR149 | Other | NM | MEDICARE PTAN |
| K3543 | Medicaid | NM | |
| 84600381 | Medicaid | NM | |
| HSZ189 | Other | NM | MEDICARE PART B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0623 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1689908147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1946",
"address_2": "1090 GOAT SPRINGS ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "875711946",
"telephone_number": "575-758-4224",
"fax_number": "575-751-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 GOAT SPRINGS ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "875711946",
"telephone_number": "575-758-4224",
"fax_number": "575-751-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "TALIA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8HR149",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K3543",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84600381",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "HSZ189",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.