Smartwoman Healthcare, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R14892 Issued in NM

Legal business name

SMARTWOMAN HEALTHCARE, LLC

Practice address

130 Siringo Road
Suite 201
Santa Fe, NM 87505-5864

Phone

(505) 989-1704

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Donna Ketcheson, CNP

Title

Owne/Practitioner

Phone

(505) 989-1704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942220553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SIRINGO RD STE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055864",
            "telephone_number": "505-989-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SIRINGO ROAD",
            "address_2": "SUITE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055864",
            "telephone_number": "505-989-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTWOMAN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KETCHESON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNE/PRACTITIONER",
        "authorized_official_telephone_number": "505-989-1704",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "R14892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylight Behavioral Health LLC
• Dena Slifer, OT
• Elizabeth Sloan-Obrien, LMHC
• Travis Gavin Sloan
• Small Smiles Dentistry for Children, Santa Fe, PC
• Chad Smelser, M.D.
• Hima Bindu Smelser, M.D.
• Malcolm J Smith-Carlile, BMS
• Angelique L Smith
• Brent Smith

• Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.