TELE-PEDS LLC (NPI# 1457974222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457974222 |
| Entity Type | Organization |
| Organization Name | TELE-PEDS LLC |
| Practice Address |
1704 Llano St Ste B Santa Fe NM 87505-5415 |
| Mailing Address |
1704 Llano St Ste B - Pob: 1414 Santa Fe NM 87505 |
| Practice Telephone | 7576678898 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | MISHA HARRIS (CO-FOUNDER) |
| Authorized Official Telephone | 7576678898 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1704 LLANO ST STE B |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386003218 | Prentice Chatfield | Counselor | 1704 Llano St Ste B, #237, Santa Fe, NM 87505-5415 | 2016-02-20 |
| 1346873783 | Precious Marie Moya-mier | Behavior Technician | 1704 Llano St Ste B, Santa Fe, NM 87505-5415 | 2020-02-13 |
| 1700362738 | Four Corners LLC | Driver | 1704 Llano St Ste B, Santa Fe, NM 87505-5415 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104255454 | Victor Lacerva | Pediatrics | 52 Zambra Way, Santa Fe, NM 87506-0154 | 2013-11-07 |
| 1194150318 | Molina Medical Group of New Mexico, PC | Pediatrics | 1714 Saint Michaels Dr # 1, Santa Fe, NM 87505-7617 | 2013-09-06 |
| 1801177944 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1714 Saint Michaels Dr, #1, Santa Fe, NM 87505-7617 | 2011-09-02 |
| 1669597258 | St. Vincent Hospital | Pediatrics | 465 Saint Michaels Dr # 200, Santa Fe, NM 87505 | 2007-03-20 |
| 1255479309 | Chad Smelser | Pediatrics | 1190 St Francis Dr, Santa Fe, NM 87502 | 2007-02-01 |
| 1225133143 | Santa Fe Pediatric Associates PC | Pediatrics | 1418 Luisa Street, Suite 5, Santa Fe, NM 87505 | 2006-09-14 |
| 1285641498 | Grace Nadell | Pediatrics | 5501 Herrera Contenta, Santa Fe, NM 87507 | 2006-08-01 |
| 1912956004 | Richard D Kenney | Pediatrics | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2006-05-08 |
| 1801855309 | Anne Cecelia Kessler | Pediatrics | 2590 Camino Entrada, Santa Fe, NM 87507-4876 | 2006-03-22 |
| 1518935386 | Jennifer Lyon Skillman | Pediatrics | 2025 S Galisteo, Santa Fe, NM 87505 | 2006-03-09 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.