KRESTA S. ANTILLON – NPI #1861887192
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KRESTA ANTILLON is a physician located in LOS LUNAS, NM. NPPES has assigned the NPI number 1861887192 to KRESTA ANTILLON on April 02, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Apr 26, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KRESTA ANTILLON below.

NPI Profile for
KRESTA S. ANTILLON

NPI Number
1861887192
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KRESTA S. ANTILLON
Primary location
145 DON PASQUAL RD NW
LOS LUNAS, NM 87031-8841
Phone: (505) 865-4618 Fax: (505) 224-8727
Mailing address
MSC 09 5040
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone: (505) 994-5300 Fax: (505) 344-1233
Sole Proprietor
No
Updated
Certification Date
Apr 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NM MD2018-0733

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.