Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 237600000X | Audiologist-Hearing Aid Fitter | | 5007 | NEW MEXICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | HSZ178 | OTHER | NEW MEXICO | SANTA FE INDIAN HOSPITAL MEDICARE PIN |
| 2 | HSZ181 | OTHER | NEW MEXICO | COCHITI PUEBLO HEALTH CLINIC MEDICARE PIN |
| 3 | K1576 | OTHER | NEW MEXICO | MEDICAID-TRIBAL AUDIOLOGY AAIHB |
| 4 | 320070 | OTHER | NEW MEXICO | CANONCITOHC OSCAR/CERTIFICATION |
| 5 | H1232 | OTHER | NEW MEXICO | SANFELIPEPHC MEDICAID |
| 6 | 82674060 | OTHER | NEW MEXICO | KEWA PHC MEDICAID |
| 7 | H1232 | OTHER | NEW MEXICO | COCHITI HEALTH CLINIC AND SANTA FE INDIAN HOSPITAL MEDICAID |
| 8 | HSZ022 | OTHER | NEW MEXICO | CANONCITOHC MEDICARE PIN |
| 9 | HSZ164 | OTHER | NEW MEXICO | SANDIAPHC MEDICARE |
| 10 | PHS000 | OTHER | NEW MEXICO | ALBUQUERQUE MEDICARE UPIN |
| 11 | TR2037 | OTHER | NEW MEXICO | KEWA PHC MEDICARE PLAN B |
| 12 | 320056 | OTHER | NEW MEXICO | AIHC MEDICARE UNSPECIFIED |
| 13 | 320057 | OTHER | NEW MEXICO | SANTA FE INDIAN HOSPITAL MEDICARE O/C |
| 14 | 320057 | OTHER | NEW MEXICO | COCHITI HEALTH CLINIC AND SANTA FE INDIAN HOSPITAL MEDICARE O/C |
| 15 | 54651263 | OTHER | NEW MEXICO | MEDICAID-AAIHB PUEBLO AUDIOLOGY |
| 16 | H7890 | OTHER | NEW MEXICO | AIHC MEDICAID |
| 17 | HSZ189 | OTHER | NEW MEXICO | TPSU MEDICARE PART B |
| 18 | HSZ841YRUF | OTHER | NEW MEXICO | PROVIDER MEDICARE PTAN |
| 19 | H7890 | OTHER | NEW MEXICO | SANDIAPHC MEDICAID |
| 20 | L9815 | OTHER | NEW MEXICO | CANONCITOHC MEDICAID |
| 21 | 31174256 | OTHER | NEW MEXICO | SANTAANAPHC MEDICAID |
| 22 | 320057 | OTHER | NEW MEXICO | TPSU MEDICARE PART A |
| 23 | 320057 | OTHER | NEW MEXICO | SANFELIPEPHC MEDICARE OSCAR/CERTIFICATION |
| 24 | 63476274 | MEDICAID | NEW MEXICO | |
| 25 | HSZ159 | OTHER | NEW MEXICO | SANTAANAPHC OTHER |
| 26 | HSZ180 | OTHER | NEW MEXICO | SANFELIPEPHC MEDICARE PIN |
| 27 | K3543 | OTHER | NEW MEXICO | TPSU MEDICAID |
