Jan Kristy Colanze Seneriches

Primary specialty

Nephrology Registered NurseTaxonomy code 163WN0300X

License

RN-84262 Issued in NM

Practice address

400 Nelson Ave Apt 1105
Farmington, NM 87401-3335

Phone

(505) 436-9688

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1992451249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NELSON AVE APT 1105",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013335",
            "telephone_number": "505-436-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NELSON AVE APT 1105",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013335",
            "telephone_number": "505-436-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENERICHES",
        "first_name": "JAN KRISTY",
        "middle_name": "COLANZE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "NM",
            "license": "RN-84262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1132003",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NewMexico",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Nelson Ave Apt 1105",
            "city": "Farmington",
            "state": "NM",
            "country_code": "US",
            "postal_code": "874013335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nephrology Registered Nurse in Farmington, NM
• Providers in Farmington, NM by specialty
• Nephrology Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.