United States Air Force

Primary specialty

Military HospitalTaxonomy code 286500000X

License

RN0000193280 Issued in TN

Legal business name

UNITED STATES AIR FORCE

Practice address

49TH Medical BLDG 17
Holloman Afb, NM 88330

Phone

(575) 572-5676

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Ryan Abner

Title

Pmhnp-BC

Phone

(619) 813-1270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1710384292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49MDG 280 FIRST ST",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330",
            "telephone_number": "575-572-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49TH MEDICAL BLDG 17",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330",
            "telephone_number": "575-572-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES AIR FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "ABNER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "619-813-1270"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TN",
            "license": "RN0000193280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Holloman Afb, NM
• Providers in Holloman Afb, NM by specialty
• Military Hospital in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.