Individual provider Active NPI

Darren Tyler Secatero, LPN

  • Licensed Practical Nurse
  • Tohajiilee, NM
National Provider Identifier
1750196275
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
68008 Issued in NM
Practice address
129 Medicine Horse Dr.
Tohajiilee, NM 87114
Phone
(505) 908-2307
NPI assigned
Feb 11, 2025
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
68008NMMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 68008 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

129 Medicine Horse Dr.
Tohajiilee, NM 87114

Mailing address

129 Medicine Horse Dr
Canoncito, NM 87026
Phone (505) 908-2307

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2025.

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1750196275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MEDICINE HORSE DR",
            "city": "CANONCITO",
            "state": "NM",
            "postal_code": "87026",
            "telephone_number": "505-908-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MEDICINE HORSE DR.",
            "city": "TOHAJIILEE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-908-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECATERO",
        "first_name": "DARREN",
        "middle_name": "TYLER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "68008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tohajiilee, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.