Active NPI
Coleene Ann Burch, DOM
- Acupuncturist
- Santa Fe, NM
National Provider Identifier
1942447313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 852
- Practice address
- 1418 Luisa St Ste 5a
Santa Fe, NM 87505-4091 - Phone
- (505) 930-2639
- NPI assigned
- Jan 7, 2009
- Last updated
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 852 | NM | Primary |
Addresses
Primary practice location
1418 Luisa St Ste 5a
Santa Fe, NM 87505-4091
Mailing address
223 N Guadalupe St # 121
Santa Fe, NM 87501-1868
Phone (505) 930-2639
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 852 | NM | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1942447313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N GUADALUPE ST # 121",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011868",
"telephone_number": "505-930-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 LUISA ST STE 5A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054091",
"telephone_number": "505-930-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "COLEENE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "852",
"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 Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.