Santa Fe Medical Arts & Wellness Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RI9344 Issued in NM

Legal business name

SANTA FE MEDICAL ARTS & WELLNESS CENTER, LLC

Practice address

1651 Galisteo St
Suite6
Santa Fe, NM 87505-4752

Phone

(505) 954-0002

Fax

(505) 954-0008

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Sisneros, CFNP

Title

Owner

Phone

(505) 954-0002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700916038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 GALISTEO ST",
            "address_2": "SUITE6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054752",
            "telephone_number": "505-954-0002",
            "fax_number": "505-954-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GALISTEO ST",
            "address_2": "SUITE6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054752",
            "telephone_number": "505-954-0002",
            "fax_number": "505-954-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE MEDICAL ARTS & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISNEROS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-954-0002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "RI9344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35634006",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.