JASON MICHAEL ROTONDA (NPI# 1023596491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023596491 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL ROTONDA |
| Practice Address |
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102 |
| Mailing Address |
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3619 |
| Practice Telephone | 5057278206 |
| Mailing Telephone | 5057278206 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R66741 | NM | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
53629 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 DR MARTIN LUTHER KING JR AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261611 | Gilbert M Martinez | Nuclear Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2005-10-31 |
| 1114533239 | Mattie Firlit | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-09-23 |
| 1184263303 | Seth Tyler Gambone | Nurse Anesthetist, Certified Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-01-06 |
| 1518527530 | Shannon Erickson | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-06-20 |
| 1396218095 | Caroline Jane Spencer | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-01-04 |
| 1275010985 | Main Street Anesthesia of New Mexico, LLC | Anesthesiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-07-25 |
| 1740779560 | Paris Arlette Cook | Pharmacist | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-05-07 |
| 1386150076 | Raiza Stephanie Mena | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-12-18 |
| 1255843710 | Bernadette Perea-zamora | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-10-24 |
| 1093237810 | Billy Jay Taylor | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536545 | Eglis Jane Pereyra | Nurse Practitioner | 5720 Lost Dutchman St Ne, Albuquerque, NM 87111-5903 | 2020-10-19 |
| 1467061895 | Bruna Brum Wynne | Nurse Practitioner | 933 Bradbury Dr Se Ste 2204, Albuquerque, NM 87106-4375 | 2020-07-31 |
| 1811522238 | Oso Medical Group, LLC | Nurse Practitioner | 2441 Menaul Blvd Ne, Albuquerque, NM 87107-1823 | 2020-03-05 |
| 1417595562 | Brandy Renee Chavez | Nurse Practitioner | 12205 Palm Springs Ave Ne, Albuquerque, NM 87111-5421 | 2019-12-18 |
| 1598307530 | Audrey R Clark | Nurse Practitioner | 7936 Brady Rd Nw, Albuquerque, NM 87120-1246 | 2019-10-10 |
| 1376058099 | Michael M Archuleta | Nurse Practitioner | 7912 Teaberry Rd Nw, Albuquerque, NM 87120-5275 | 2017-12-04 |
| 1811349194 | Tiffany Nicole Grant | Nurse Practitioner | 1501 San Pedro Dr Se Ste 111, Albuquerque, NM 87108-5180 | 2016-07-11 |
| 1093115271 | Maria De La Luz Nicole Webb | Nurse Practitioner | 2211 Lomas Blvd. Ne 2nd Floor, University of New Mexico Surgical Specialties Clinic, Albuquerque, NM 87106 | 2014-08-26 |
| 1891123485 | William Finley | Nurse Practitioner | Unmh Doim Cardiology Division, Msc 10 5550, Albuquerque, NM 87131-0001 | 2013-10-17 |
| 1780979278 | Maria Retunski | Nurse Practitioner | 10600 Royal Birkdale Ne, Unm Hospital, Department of Neurosurgery, Albuquerque, NM 87111-6571 | 2011-06-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.