Xena Augustine, DOM
Individual provider Active NPI Acupuncturist · Santa Fe, NM
NPI 1982115879 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1982115879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1209 (NM)
- Practice address
- 1807 2ND St Ste 45-3
Santa Fe, NM 87505-3499 - Phone
- (505) 204-2633
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | 1209 | NM | Yes |
Addresses
Primary practice location
1807 2ND St Ste 45-3
Santa Fe, NM 87505-3499
Mailing address
60 Willow Back Rd
Santa Fe, NM 87508-1484
Phone (505) 204-2633
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.