Chip Upsal, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R67343 Issued in NM

Practice address

454 Saint Michaels Dr
Santa Fe, NM 87505-7602

Phone

(505) 303-5000

Fax

(505) 303-5199

NPI assigned

Feb 21, 2022

Sex

Male

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1780339457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ALAMOSA DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055216",
            "telephone_number": "505-577-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057602",
            "telephone_number": "505-303-5000",
            "fax_number": "505-303-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSAL",
        "first_name": "CHIP",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R67343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Supermarkets LLC
• United Supermarkets LLC
• Nathan Paul Unkefer, MD
• Jan E Unna, LPCC, LADAC
• Peter W Unverferth
• Ingrid Upton, P.T.
• Edward Joseph Urig Jr., DMD MS
• Alicia Maria Urioste, PROVISIONAL LMSW
• Victoria Katherine Urquidez
• Caesar Marcelo Ursic, MD

• Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.