Enchanted Family Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CNP 02228 Issued in NM

Legal business name

ENCHANTED FAMILY MEDICINE

Practice address

4916 4TH St NW
Albuquerque, NM 87107-3949

Phone

(505) 344-1939

Fax

(505) 214-5640

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lou Singleton, FNP-BC

Title

Owner

Phone

(505) 573-5134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1750717575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073949",
            "telephone_number": "505-344-1939",
            "fax_number": "505-214-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073949",
            "telephone_number": "505-344-1939",
            "fax_number": "505-214-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-573-5134",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "CNP 02228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Emslie
• Eric N Enache, AA-C
• Tiffany M Enache, P.T.
• Enchanted Care Centers
• Enchanted Care Solutions, LLC
• Enchanted Healing of New Mexico, LLC
• Enchanted Hills Home Healthcare Agency, Inc.
• Enchanted Psychiatry LLC
• Enchanting Skies Healing LLC
• Enchantment Anesthesia LLC

• Health Service Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.