Tanya V Marin, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TANYA V MARIN, PC

Doing business as

Santa Teresa Children's Night Clinic

Practice address

1245 Country Club Rd
Suite 200
Santa Teresa, NM 88008-9743

Phone

(575) 332-4633

Fax

(575) 332-4635

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Veronica Marin, DNP, APRN, CPNP-PC

Title

Pediatric Nurse Practitioner/ Owner

Phone

(575) 332-4633

Specialties & licenses 1

Addresses

Other names 1

• Santa Teresa Children's Night Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Shuya, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Teresa, NM
  • NPI 1932478955
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1720469679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 COUNTRY CLUB RD",
            "address_2": "SUITE 200",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089743",
            "telephone_number": "575-332-4633",
            "fax_number": "575-332-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 COUNTRY CLUB RD",
            "address_2": "SUITE 200",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089743",
            "telephone_number": "575-332-4633",
            "fax_number": "575-332-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA V MARIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "575-332-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Teresa Children's Night Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Psychiatry PLLC
• Elvia Miroslava Stevens Bautista
• STF Dental
• Su Casa Health Care Services of New Mexico LLC
• Sweet Bee Services LLC
• Michelle Te Velde
• Jasmine Desiree Tejada
• Melissa Rae Tena
• Nallely Terrazas
• Romina Terrazas

• Primary Care Clinic/Center in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.