Fernando Carreon, BA

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

413 Sipapu
Box 6952
Taos, NM 87571-6489

Phone

(505) 758-1596

Fax

(505) 758-2832

NPI assigned

Feb 21, 2007

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821133042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 HERDNER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715213",
            "telephone_number": "505-751-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SIPAPU",
            "address_2": "BOX 6952",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716489",
            "telephone_number": "505-758-1596",
            "fax_number": "505-758-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREON",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Happy Elizabeth Carmona, MD
• Carolyn J Tokle Brown
• Sierra R Carp
• Linda Carr, LMT
• Cody Carrasco
• Casa de Corazon
• Jordan Casias
• Janelle M. Cassidy, LMSW
• Christa Danell Castro, PA
• Jeanne C Cetrulo, LPCC

• Specialist in Taos, NM
• Providers in Taos, 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.