Active NPI
Nathan Joe Suazo, CPSW
- Peer Specialist
- Taos, NM
National Provider Identifier
1982253357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 983
- Practice address
- 230 Rotten Tree Road
Taos, NM 87571 - Phone
- (575) 758-7824
- Fax
- (575) 758-3346
- NPI assigned
- Sep 9, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 983 | NM | Primary |
Addresses
Primary practice location
230 Rotten Tree Road
Taos, NM 87571
Mailing address
PO Box 1846
Taos, NM 87571-1846
Phone (575) 758-7824
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 |
|---|---|---|---|
| 983 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Pueblo CMS Administration | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Taos, NM
- NPI 1184992612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1982253357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1846",
"city": "TAOS",
"state": "NM",
"postal_code": "875711846",
"telephone_number": "575-758-7824",
"fax_number": "575-758-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 ROTTEN TREE ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "575-758-7824",
"fax_number": "575-758-3346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAZO",
"first_name": "NATHAN",
"middle_name": "JOE",
"credential": "CPSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.