Organization Active NPI

Timothy Valentine

Doing business as Timothy a Valentine PC

  • Counselor
  • Santa Fe, NM
National Provider Identifier
1760244966
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TIMOTHY VALENTINE
Doing business as
Timothy a Valentine PC
Practice address
1600 Lena St Ste C
Santa Fe, NM 87505-3891
Phone
(505) 426-4030
NPI assigned
Jan 24, 2024
Last updated
Mar 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Authorized official

Name
Timothy A Valentine, PCNPI 1326440710
Title
Owner
Phone
(505) 426-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1600 Lena St Ste C
Santa Fe, NM 87505-3891

Mailing address

9 Ponderosa
Santa Fe, NM 87508-6601

Other names 1

  • TIMOTHY A VALENTINE PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513002774 NM Part B Supplier - Clinic/Group Practice 2365883089 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

1600 Lena St
Ste C
Santa Fe, NM 87505
Phone (505) 235-1284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711152000000",
    "number": "1760244966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PONDEROSA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875086601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LENA ST STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053891",
            "telephone_number": "505-426-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY VALENTINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-03-23",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-426-4030",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMOTHY A VALENTINE PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.