Active NPI
Yajaira Venegas, CPSW
- Peer Specialist
- Silver City, NM
National Provider Identifier
1821704438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1519
- Practice address
- 610 N Silver St
Silver City, NM 88061-6779 - Phone
- (575) 956-6131
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1519 | NM | Primary |
Addresses
Primary practice location
610 N Silver St
Silver City, NM 88061-6779
Mailing address
211 Cortez Ave
Hurley, NM 88043-9744
Phone (575) 956-6131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | yajaira.spinhousingnm@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1519 | NM | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1821704438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CORTEZ AVE",
"city": "HURLEY",
"state": "NM",
"postal_code": "880439744",
"telephone_number": "575-956-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N SILVER ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880616779",
"telephone_number": "575-956-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEGAS",
"first_name": "YAJAIRA",
"credential": "CPSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "1519",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "yajaira.spinhousingnm@gmail.com",
"affiliation": "N",
"address_1": "610 N Silver St",
"city": "Silver City",
"state": "NM",
"country_code": "US",
"postal_code": "880616779",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.