Active NPI
Teresa B Nelson, MS, APMHNP
- Registered Nurse
- Santa Fe, NM
National Provider Identifier
1871841411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R60073
- Practice address
- 1700 Cerrillos Rd
Santa Fe, NM 87505-3026 - Phone
- (505) 946-9212
- Fax
- (505) 946-9557
- NPI assigned
- Aug 28, 2012
- Last updated
- Apr 3, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R60073 | NM | |
| Registered Nurse | 163W00000X | R60073 | NM | Primary |
Addresses
Primary practice location
1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Mailing address
1700 Cerrillos Road
Santa Fe, NM 87505-0698
Phone (505) 946-9212
Other practice location 1
RR 5
#446
Espanola, NM 87531
Phone (505) 753-9421
Other practice location 2
8 Cedar Rd
San Felipe, NM 87001
Phone (505) 867-5025
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R60073 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1871841411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CERRILLOS ROAD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875050698",
"telephone_number": "505-946-9212",
"fax_number": "505-946-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CERRILLOS RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053026",
"telephone_number": "505-946-9212",
"fax_number": "505-946-9557"
}
],
"practiceLocations": [
{
"address_1": "RR 5",
"address_2": "#446",
"address_purpose": "LOCATION",
"city": "Espanola",
"state": "NM",
"postal_code": "87531",
"country_code": "US",
"telephone_number": "505-753-9421",
"fax_number": "505-753-5039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 Cedar Rd",
"address_purpose": "LOCATION",
"city": "San Felipe",
"state": "NM",
"postal_code": "87001",
"country_code": "US",
"telephone_number": "505-867-5025",
"fax_number": "505-867-6527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "TERESA",
"middle_name": "B",
"credential": "MS, APMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "R60073",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R60073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.