Active NPI
Juanita Sena
- Registered Nurse
- Isleta, NM
National Provider Identifier
1720229362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R12755
- Practice address
- 01 Sagebrush Road
Isleta, NM 87022-0580 - Phone
- (505) 869-3200
- Fax
- (505) 869-4584
- NPI assigned
- Mar 11, 2009
- Last updated
- Mar 11, 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 Nurse | 163W00000X | R12755 | NM | Primary |
Addresses
Primary practice location
01 Sagebrush Road
Isleta, NM 87022-0580
Mailing address
01 Sagebrush Road
Isleta, NM 87022-0580
Phone (505) 869-3200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R12755 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Isleta | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pueblo of Isleta Dental Clinic
- Public Health Dentistry
- Isleta, NM
- NPI 1225158348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1720229362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "01 SAGEBRUSH ROAD",
"city": "ISLETA",
"state": "NM",
"postal_code": "870220580",
"telephone_number": "505-869-3200",
"fax_number": "505-869-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "01 SAGEBRUSH ROAD",
"city": "ISLETA",
"state": "NM",
"postal_code": "870220580",
"telephone_number": "505-869-3200",
"fax_number": "505-869-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENA",
"first_name": "JUANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R12755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isleta, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.