JUDAH ARCHULETA NPI 1003448523

Specialist in Las Cruces, NM

Individual Male Specialist

About JUDAH ARCHULETA

Judah Archuleta is a provider established in Las Cruces, New Mexico and his medical specialization is specialist. The NPI number of Judah Archuleta is 1003448523 and was assigned on February 2020. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated February 2020.

NPI

1003448523

Provider Name JUDAH ARCHULETA
Provider Location Address1435 COUNTRY CLUB CIR LAS CRUCES, NM 88001
Provider Mailing Address1435 COUNTRY CLUB CIR LAS CRUCES, NM 88001
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-12-2020
Last Update Date02-12-2020

Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

JUDAH ARCHULETA
1435 COUNTRY CLUB CIR
LAS CRUCES, NM
ZIP 88001
Phone: (575) 932-8267

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Mailing Address

JUDAH ARCHULETA
1435 COUNTRY CLUB CIR
LAS CRUCES, NM
ZIP 88001
Phone: (575) 932-8267

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1133N00000XDietary & Nutritional Service ProvidersNutritionistNo

Taxonomy Description: a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750913257 REBECCA ARCHULETA
Individual
Doula1435 COUNTRY CLUB CIR
LAS CRUCES, NM 88001
(575) 932-9396

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.