State of New Mexico Dept. of Finance and Administrative Cent Payroll

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

03-069100-00-1 Issued in NM

Legal business name

STATE OF NEW MEXICO DEPT. OF FINANCE AND ADMINISTRATIVE CENT PAYROLL

Practice address

7905 Marble Ave NE
Albuquerque, NM 87110-7886

Phone

(505) 232-5726

Fax

(505) 232-5724

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Kay Thorne-Lehman

Title

Deputy Director, Doh

Phone

(505) 827-2503

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DOH DDSD CSB Specialty Seating Clinic Doing business as

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1700949088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 MARBLE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107886",
            "telephone_number": "505-232-5726",
            "fax_number": "505-232-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MARBLE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107886",
            "telephone_number": "505-232-5726",
            "fax_number": "505-232-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW MEXICO DEPT. OF FINANCE AND ADMINISTRATIVE CENT PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "THORNE-LEHMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR, DOH",
        "authorized_official_telephone_number": "505-827-2503"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NM",
            "license": "03-069100-00-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q2441",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOH DDSD CSB Specialty Seating Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Hamilton Starr, RN
• Karin Starr
• Shannon G Starr, LMSW
• Starseed Neuroaffirming Wellness LLC
• State of New Mexico
• State of the Art Healing, LLC
• State of the Heart Recovery
• State of the Heart Recovery
• State of the Heart Recovery Inc.
• Ruby Staten

• Customized Equipment (DME) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Customized Equipment (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.