Vanessa Tahe, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

63723 Issued in NM

Practice address

959 Buena Vista Dr SE
Albuquerque, NM 87106-5169

Phone

(505) 353-6582

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/30308/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Pueblo Health Services, Inc

  dba El Pueblo Family Healthcare

  • Family Nurse Practitioner
  • Bernalillo, NM
  • NPI 1144302415
  NPD (past)
• First Nations Community Health Source, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albuquerque, NM
  • NPI 1932199171
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1720662935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BUENA VISTA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065169",
            "telephone_number": "505-353-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BUENA VISTA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065169",
            "telephone_number": "505-353-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHE",
        "first_name": "VANESSA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "63723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara R Taft, BCBA
• Maritza Montiel Tafur, OT
• Connie Jean Tagtmeyer, LMHC
• Madoka Taguchi
• Mohammad Taha
• Jo Anna Tahyi, PHYSICAL THERAPIST
• Mrunal Tailor, MD
• Kara Lyn Tainter
• Sara Janelle Tajiboy
• Amye Elizabeth Takach, PHARM D

• Pediatric Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.