DR. IRENE JUNE MOODY (NPI# 1043217102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043217102 |
| Entity Type | Individual |
| Full Name | DR. IRENE JUNE MOODY |
| Credential | M.D. |
| Practice Address |
3410 Indian School Rd Ne Albuquerque NM 87106-1148 |
| Practice Telephone | 5052657817 |
| Practice Fax Number | 5052661543 |
| Mailing Telephone | 5052657817 |
| Mailing Fax Number | 5052661543 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 83262 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 30742 | 05 |
| Street Address |
3410 INDIAN SCHOOL RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027027 | Kinnari Patel | Dentist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2019-05-09 |
| 1326562992 | Judith Eileen Romero | Registered Nurse | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2017-07-26 |
| 1346787165 | Taylor Elizabeth Leeper | Dentist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2017-01-31 |
| 1851848899 | Pediatric Associates | Specialist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2016-09-07 |
| 1275887416 | Myrna Estrada | Dental Hygienist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2012-11-08 |
| 1396098653 | Lisa Renee Jennings | Dental Hygienist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2012-10-23 |
| 1457681082 | Mountain Dental, Inc | Dentist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2010-01-04 |
| 1447490578 | Shirley J Murphy | Pediatrics | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2009-03-02 |
| 1275669558 | Janet Eleanor Samorodin-mcilwain | Pediatrics | 3410 Indian School Rd Ne, Albuquerque, NM 87106 | 2007-02-23 |
| 1578640371 | Pediatric Associates, Pa | Pediatrics | 3410 Indian School Rd Ne, Albuquerque, NM 87106 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504168 | Beautiful Transitions Consulting | Specialist | 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 | 2019-08-19 |
| 1952840191 | Odely Ortiz-vega | Specialist | 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 | 2017-02-21 |
| 1669824652 | Jeanette Marie Deanda | Specialist | 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 | 2016-07-01 |
| 1881054583 | Tlc Therapeutics LLC | Specialist | 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 | 2016-02-24 |
| 1497145940 | Elevate: Performance Health Wellness | Specialist | 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 | 2015-02-04 |
| 1336541184 | Thomas Lopez I | Specialist | 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 | 2014-09-24 |
| 1558787267 | Erica Saldana | Specialist | 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 | 2014-03-05 |
| 1164851382 | Djaa Tlhenai Medicine Lodge | Specialist | 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 | 2013-11-07 |
| 1912333139 | George Richard Louderbough | Specialist | 7321 Avenida La Costa Ne, Albuquerque, NM 87109-3900 | 2013-09-19 |
| 1821420738 | Advocates of New Mexico, LLC | Specialist | 230 Adams St Se Ste C, Albuquerque, NM 87108-2805 | 2013-08-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on DR. IRENE JUNE MOODY.
| 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.