MARIN TELEHEALTH
NPI 1023741188
Nurse Practitioner - Primary Care in Santa Teresa, NM

Q: What is Marin Telehealth's NPI number?

The NPI number for Marin Telehealth is 1023741188. It was assigned to this organization in the NPPES registry on July 6, 2022.

Q: What is Marin Telehealth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Marin Telehealth was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2022

1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008(575) 332-4633(877) 209-8941 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2024, Jul 7, 2022 (2 updates tracked since 2022).

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About Marin Telehealth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIN TELEHEALTH (NPI 1023741188) is a healthcare organization registered as a primary care in Santa Teresa, New Mexico and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Santa Teresa and lists Tanya Marin, Owner, as its authorized official.

NPPES Registry Identity

NPI1023741188

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameMARIN TELEHEALTH

Location Address1245 COUNTRY CLUB RD STE 200Santa Teresa, NM 88008-9743

Mailing Address1245 Country Club Rd Ste 200Santa Teresa, NM 88008-9743 · (575) 332-4633 · Fax (877) 209-8941

Phone(575) 332-4633

Fax(877) 209-8941

Organization SubpartNo

Authorized OfficialTanya MarinOwner · (915) 740-4344

Enumeration DateJuly 6, 2022

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1023741188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

1245 COUNTRY CLUB RD STE 200, Santa Teresa, NM 88008

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Secondary Practice Location 1

Location 11245 Country Club Rd Ste 200Santa Teresa, NM 88008-9743 · Phone (575) 332-4633 · Fax (877) 209-8941

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2265207

Marin Telehealth Inc · Santa Teresa, NM

Expired · Jul 24, 2026

CLIA Number32D2265207

Laboratory TypeRural Health Clinic

Certificate Effective DateJuly 25, 2024

Certificate Expiration DateJuly 24, 2026

Laboratory DirectorTanya V. Marin

Laboratory Phone(575) 332-4633

Laboratory LocationMarin Telehealth Inc1245 Country Club Rd Ste 200, Santa Teresa, NM 88008

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY SOSA APRN, FNP-C

Family Medicine