Smarthealth Enterprise LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SMARTHEALTH ENTERPRISE LLC

Doing business as

Riudoso walk-in clinic

Practice address

1204 Mechem Dr Ste 1
Ruidoso, NM 88345-7207

Phone

(575) 808-8297

Fax

(575) 449-2623

NPI assigned

Mar 26, 2021

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Deguzman Tumalad, NPNPI 1619200367

Title

President

Phone

(575) 808-8297

Specialties & licenses 1

Addresses

Other names 1

• Riudoso walk-in clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe D Tumalad, NP

  • Nurse Practitioner
  • Ruidoso, NM
  • NPI 1619200367
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1952988701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MECHEM DR STE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457207",
            "telephone_number": "575-808-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MECHEM DR STE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457207",
            "telephone_number": "575-808-8297",
            "fax_number": "575-449-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTHEALTH ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "TUMALAD",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "DEGUZMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-808-8297",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riudoso walk-in clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riudoso walk-in clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Blanca Counseling
• Sierra Blanca Family Medicine PC
• Sierra Blanca Pharmacy LLC (Sierra Blanca Pharmacy)
• Anjanette T Silva, M.A., CCC-SLP
• Abhinav Singh, MD
• Dennis Smith
• Melanie M Smith
• Deborah Joyce Sonnenmoser, O.D.
• Michael D. Spence, M.D.
• Kaycee Stahl, FNP

• Urgent Care Clinic/Center in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Urgent Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.