Addington, Roy

Addington, Roy is an sole proprietor health care provider with primary practice located at 4730 Beckner Road , Santa Fe NM 87507. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Addington, Roy can be contacted via phone (505) 443-2968.

Contact Information

Primary practice address
4730 Beckner Road Santa Fe NM 87507
Phone: (505) 443-2968
Fax: (505) 443-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 01548 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-01548 New Mexico

Profile Details

NPI number 1760489926
LBN Legal business name Addington, Roy
Credentials PMHNP DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2005
Last updated Nov 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760489926 NPPES
New Mexico MEDICAID 17176719
New Mexico MEDICAID 30925525
New Mexico Other CNP-01548
New Mexico Other RN-72155
New Mexico Other CNP-01548

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