ROBERTA L. FENNIG DO PC
NPI 1912259441
Clinic/Center in Santa Teresa, NM

Active since October 08, 2012
5305 MCNUTT RD, SUITE H, SANTA TERESA, NM 88008(575) 589-1770(575) 589-1799 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roberta L. Fennig Do Pc NPPES

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

ROBERTA L. FENNIG DO PC (NPI 1912259441) is a healthcare organization registered as a clinic/center in Santa Teresa, New Mexico and active in the NPI registry since October 2012. The organization lists Roberta Lee Fennig, President, as its authorized official.

NPPES Registry Identity

NPI1912259441
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROBERTA L. FENNIG DO PC
Location Address5305 MCNUTT RD, SUITE HSanta Teresa, NM 88008-9685
Mailing AddressPo Box 4Santa Teresa, NM 88008-0004 · (575) 589-1770 · Fax (575) 589-1799
Fax(575) 589-1799
Organization SubpartNo
Authorized OfficialRoberta Lee FennigPresident · (915) 494-1237
Enumeration DateOctober 8, 2012
NPI 1912259441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in NM · A167712
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5305 MCNUTT RD, Santa Teresa, NM 88008

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
5305 MCNUTT RD
SANTA TERESA, NM 88008
Community/Behavioral Health
5305 MCNUTT RD
SANTA TERESA, NM 88008
Case Manager/Care Coordinator
5305 MCNUTT RD
SANTA TERESA, NM 88008
Counselor (Mental Health)
5305 MCNUTT RD
SANTA TERESA, NM 88008
Counselor (Mental Health)
5305 MCNUTT RD
SANTA TERESA, NM 88008
Counselor (Mental Health)
5305 MCNUTT RD
SANTA TERESA, NM 88008
Home Health
5305 MCNUTT RD, SUITE A
SANTA TERESA, NM 88008
Counselor (Mental Health)
5305 MCNUTT RD
SANTA TERESA, NM 88008

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 Roberta L. Fennig Do PC's NPI number?

The NPI number for Roberta L. Fennig Do PC is 1912259441. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Roberta L. Fennig Do PC located?

Roberta L. Fennig Do PC is located at 5305 Mcnutt Rd Suite H, Santa Teresa, NM 88008. The listed phone number is (575) 589-1770.

What is Roberta L. Fennig Do PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Roberta L. Fennig Do PC was last updated on October 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.