Andrea Elaine Bustamante, ND, DOM

Primary specialty

NaturopathTaxonomy code 175F00000X

Practice address

1331 Maestas Rd
Taos, NM 87571-6268

Phone

(575) 776-7806

NPI assigned

Oct 5, 2021

Last updated

Oct 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: andrea.bustamante.p1@direct.kp-hc.nextgenshare.com

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1972275113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 CALLECITA JICARILLA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054940",
            "telephone_number": "505-670-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716268",
            "telephone_number": "575-776-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "ANDREA",
        "middle_name": "ELAINE",
        "credential": "ND, DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Buckingham
• Brenda J Burdick, MD
• Maya Burnett Y Velarde, BMS
• Christopher Burton
• Lisa K Bushnell, C.F.N.P.
• Daisy Bustillos
• Travis L Bye
• Marisa C de Baca, LCSW
• C. T. Simms, D.D.S., P.C. (C. Tom Simms, D.D.S.)
• Eliza Cain, LMHC

• Naturopath in Taos, NM
• Providers in Taos, NM by specialty
• Naturopath in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.