Active NPI
Dariya Hardisky
- Student in an Organized Health Care Education/Training Program
- Albuquerque, NM
National Provider Identifier
1871297663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1 University of New Mexicoalbuquerque Msc10 5610
Albuquerque, NM 87131-1267 - Phone
- (505) 272-4161
- Fax
- (505) 272-2776
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | Primary |
Addresses
Primary practice location
1 University of New Mexicoalbuquerque Msc10 5610
Albuquerque, NM 87131-1267
Mailing address
1 University of New Mexico # 105610
Albuquerque, NM 87131-0001
Phone (505) 272-4161
Other practice location 1
395 W 12th Ave Ste 662
Columbus, OH 43210-1267
Phone (614) 293-8704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230511003685 | OH | Order and Referring Only - General Surgery | 7517323876 | |
| I20240614003867 | NM | Order and Referring Only - General Surgery | 7517323876 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1871297663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO # 105610",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-4161",
"fax_number": "505-272-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICOALBUQUERQUE MSC10 5610",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871311267",
"telephone_number": "505-272-4161",
"fax_number": "505-272-2776"
}
],
"practiceLocations": [
{
"address_1": "395 W 12th Ave Ste 662",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101267",
"country_code": "US",
"telephone_number": "614-293-8704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDISKY",
"first_name": "DARIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-28",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"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 Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.