ANNETTE A MIYAMOTO LPN
NPI 1073078853
Licensed Practical Nurse in T Or C, NM

Active since February 05, 2019
180 N DATE ST, T OR C, NM 87901(575) 894-8372 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Annette A Miyamoto Lpn NPPES

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

ANNETTE A MIYAMOTO LPN (NPI 1073078853) is an individual licensed practical nurse in T Or C, New Mexico, licensed in New Mexico (L15727) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1073078853
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANNETTE A MIYAMOTOCredential: LPN
Location Address180 N DATE STT Or C, NM 87901-2810
Mailing Address1321 E Poplar StDeming, NM 88030-4807 · (575) 546-5951 · Fax (575) 546-5994
Sole ProprietorNo
Enumeration DateFebruary 5, 2019
NPI 1073078853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NM · L15727
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

180 N DATE ST, T Or C, NM 87901

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901
Speech-Language Pathologist
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901
Social Worker (School)
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901
Psychologist (School)
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901
Social Worker (Clinical)
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901
Registered Nurse (School)
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901
Social Worker (School)
180 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Miyamoto's NPI number?

The NPI number for Annette Miyamoto is 1073078853. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Annette Miyamoto located?

Annette Miyamoto practices at 180 N Date St, T Or C, NM 87901. The listed phone number is (575) 894-8372.

What is Annette Miyamoto's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Annette Miyamoto was last updated on February 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.