Organization Active NPI

Equine Therapeutic Connection

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1871103366
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EQUINE THERAPEUTIC CONNECTION
Practice address
10138 Bosque Cir NW
Albuquerque, NM 87114-8827
Phone
(505) 414-8467
NPI assigned
Aug 9, 2020
Last updated
Aug 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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

Authorized official

Name
Deborah D Pierron
Title
Executive Director
Phone
(505) 414-8467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

10138 Bosque Cir NW
Albuquerque, NM 87114-8827

Mailing address

809 Guadalupe Cir NW
Albuquerque, NM 87114-1710
Phone (505) 414-8467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122003701 NM Part B Supplier - Clinic/Group Practice 3577098870 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596931200000",
    "number": "1871103366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GUADALUPE CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141710",
            "telephone_number": "505-414-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10138 BOSQUE CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148827",
            "telephone_number": "505-414-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINE THERAPEUTIC CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A",
        "authorized_official_last_name": "PIERRON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-414-8467"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.