Dietitian, Registered
ENID LEWIS RD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1215066766 · enumerated 2007-03-02 · record updated 2010-04-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM, 87125-6666 (505) 923-5356 Fax (505) 923-5654 Google Maps Apple Maps OpenStreetMap
- Practice location 1010 SPRUCE ST, ESPANOLA HOSPITAL, ESPANOLA, NM, 87532-2724 (505) 753-7111 Fax (505) 753-4438 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 525 NM
- Dietitian, Registered 133V00000X · Primary · License 525 NM
- Dietitian, Registered, Nutrition, Renal 133VN1005X · License 525 NM
In this directory
Locations and evidence
-
Practice location
ESPANOLA, NM, 875322724
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.