Individual provider Active NPI

Rozee Grace Benavides, DN

  • Naprapath
  • Albuquerque, NM
National Provider Identifier
1851947527
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
01051 Issued in NM
Practice address
4015 Carlisle Blvd NE Ste F
Albuquerque, NM 87107-4529
Phone
(505) 591-6277
Fax
(505) 508-0932
NPI assigned
Aug 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naprapath 172P00000X 01051 NM Primary

Addresses

Primary practice location

4015 Carlisle Blvd NE Ste F
Albuquerque, NM 87107-4529

Mailing address

4015 Carlisle Blvd NE Ste a
Albuquerque, NM 87107-4529
Phone (505) 591-6277

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Backbone - Naprapathic Rehab Clinic, LLC Naprapath CurrentSince Jun 1, 2022 Accepting new patients

Locations

4015 Carlisle Blvd NE
Ste A
Albuquerque, NM 87107
Phone (505) 591-6277

4015 Carlisle Blvd NE
Ste F
Albuquerque, NM 87107
Phone (505) 591-6277

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1851947527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 CARLISLE BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074529",
            "telephone_number": "505-591-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 CARLISLE BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074529",
            "telephone_number": "505-591-6277",
            "fax_number": "505-508-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "ROZEE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "NM",
            "license": "01051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.