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ST JOHNS COLLEGE HEALTH CENTER
NPI 1649537978
Nurse Practitioner in Santa Fe, NM

Active since April 11, 2012CLIA 32D0891107 · Waiver
1160 CAMINO CRUZ BLANCA, SANTA FE, NM 87505(505) 984-6418 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Johns College Health Center NPPES

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

ST JOHNS COLLEGE HEALTH CENTER (NPI 1649537978) is a healthcare organization registered as a nurse practitioner in Santa Fe, New Mexico and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists James K Irungu, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1649537978
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameST JOHNS COLLEGE HEALTH CENTER
Location Address1160 CAMINO CRUZ BLANCASanta Fe, NM 87505-4599
Mailing Address1160 Camino Cruz BlancaSanta Fe, NM 87505-4599 · (505) 984-6418
Phone(505) 984-6418
Organization SubpartNo
Authorized OfficialJames K IrunguCredentialing Manager · (877) 614-5227
Enumeration DateApril 11, 2012
✔ NPI 1649537978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1160 CAMINO CRUZ BLANCA, Santa Fe, NM 87505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 32D0891107

St Johns College Student Health Office · Santa Fe, NM
Active · expires Aug 30, 2026
CLIA Number32D0891107
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorMichaela Reyes
Laboratory Phone(505) 984-6418
Laboratory LocationSt Johns College Student Health Office1160 Camino Cruz Blanca, Santa Fe, NM 87505
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KIM BEAR F.N.P.
Nurse Practitioner (Family)
1160 CAMINO CRUZ BLANCA
SANTA FE, NM 87505
Santa Fe County (505) 984-6000

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 St Johns College Health Center's NPI number?

The NPI number for St Johns College Health Center is 1649537978. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is St Johns College Health Center located?

St Johns College Health Center is located at 1160 Camino Cruz Blanca, Santa Fe, NM 87505. The listed phone number is (505) 984-6418.

What is St Johns College Health Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does St Johns College Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0891107) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Johns College Health Center was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.