Suzanne Beatty Oliva, D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

353 Issued in NM

Practice address

205 Los Alamos Hwy
Espanola, NM 87532-3443

Phone

(505) 699-8116

Fax

(505) 438-9484

NPI assigned

Feb 14, 2007

Last updated

Oct 25, 2024By the provider in NPPES

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1831232727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COYOTE SPGS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088083",
            "telephone_number": "505-699-8116",
            "fax_number": "505-438-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LOS ALAMOS HWY",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323443",
            "telephone_number": "505-699-8116",
            "fax_number": "505-438-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Coyote Spgs",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875088083",
            "country_code": "US",
            "telephone_number": "505-699-8116",
            "fax_number": "505-438-9484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "SUZANNE",
        "middle_name": "BEATTY",
        "name_prefix": "Dr.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern New Mexicoorthopaedic Center,PC
• Elizabeth Nunez, AGACNP-BC
• Lea Pazos Creekmur O'Dell, D.O.
• Ifeatu Oboli
• Christine Renee Obrien, LMT
• Christopher Olivas, CPSW
• Nery Olivas
• Connie Oliver
• Optometrics PC
• Megan C Orr, LPCC

• Acupuncturist in Espanola, NM
• Providers in Espanola, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.