Organization
SUSAN'S LEGACY
Active
Organization
SUSAN'S LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN WEIL PH.D. (EXECUTIVE DIRECTOR)
(505) 843-8450
Entity
Organization
Contact information
Practice address
8100 MOUNTAIN RD NE, SUITE 200, ALBUQUERQUE, NM 87110
(505) 843-8450
(505) 843-8449
Mailing address
11000 SPAIN NE, ALBUQUERQUE, NM 87111
(505) 843-8450
(505) 843-8449
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0071091
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36873594
—
NM
01
—
NM600724
VALUE OPTIONS
NM
Enumeration date
10/22/2007
Last updated
05/06/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up