Organization Active NPI

Three Suns Birth

  • Clinic/Center
  • Roswell, NM
National Provider Identifier
1902631914
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THREE SUNS BIRTH
Practice address
406 S Lea Ave
Roswell, NM 88203-4564
Phone
(575) 416-5203
Fax
(575) 616-7006
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Kaitlyn Pults, CPM, LMNPI 1548844616
Title
Clinical Director
Phone
(575) 416-5203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

406 S Lea Ave
Roswell, NM 88203-4564

Mailing address

3000 Bandolina Ave
Roswell, NM 88201-6610
Phone (575) 416-5203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1902631914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BANDOLINA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016610",
            "telephone_number": "575-416-5203",
            "fax_number": "575-616-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S LEA AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034564",
            "telephone_number": "575-416-5203",
            "fax_number": "575-616-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE SUNS BIRTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "PULTS",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "575-416-5203",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.