Tall Pines Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

88-74 Issued in NM

Legal business name

TALL PINES MEDICAL INC

Practice address

714 Mechem Dr
Ruidoso, NM 88345-6905

Phone

(575) 257-4061

Fax

(575) 257-4445

NPI assigned

Aug 30, 2006

Last updated

Feb 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann Spence

Title

Office Manager

Phone

(575) 257-4061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1750490017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456905",
            "telephone_number": "575-257-4061",
            "fax_number": "575-257-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456905",
            "telephone_number": "575-257-4061",
            "fax_number": "575-257-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALL PINES MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-257-4061"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "88-74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03020",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Stephens, LMHC
• Alison A Stepp, MS, CCC-SLP
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• Amber L Thompson, BMS
• Cynthia Tijerina

• Family Medicine Physician in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.