Surrina Whitehorse

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

033435380 Issued in NM

Practice address

Hwy 160 MM 284: 8 Miles
Teecnospos, AZ 86514

Phone

(505) 419-3279

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1811241896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "KIRTLAND",
            "state": "NM",
            "postal_code": "874171343",
            "telephone_number": "505-419-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 160 MM 284: 8 MILES",
            "city": "TEECNOSPOS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "505-419-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHORSE",
        "first_name": "SURRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "033435380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Henry Smith Jr., PA
• Richard A Stimson, DDS
• Evelyn Todacheene, RN
• John Wang, DDS
• Richard Hugh Ward, D.D.S.
• Ramona Francine Yazzie, OTR
• Norman J. Yellowhair

• Non-emergency Medical Transport (VAN) in Teecnospos, AZ
• Providers in Teecnospos, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.