Jeff D Archuleta, ATC/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

358 Issued in NM

Practice address

7801 Wilshire Ave NE
Albuquerque, NM 87122-2807

Phone

(505) 823-2327

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811919111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 SANTA CLARITA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132838",
            "telephone_number": "505-823-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 WILSHIRE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222807",
            "telephone_number": "505-823-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "JEFF",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Archuleta
• Elizabeth Marie Archuleta, PHARM.D.
• Emilie Archuleta, SW
• Eric Archuleta, ATC
• Jeanine Marie Archuleta
• Kimberly Archuleta, CNP
• Larry Archuleta
• Laura Archuleta
• Leslie Jade Archuleta, MD
• Manuel C. Archuleta, MD

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.