MRS. LEA ROTENBERG KOSHKIN (NPI# 1043610488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043610488 |
| Entity Type | Individual |
| Full Name | MRS. LEA ROTENBERG KOSHKIN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5150 Journal Center Blvd., Ne Adult Internal Medicine - 3rd Floor Albuquerque NM 87109 |
| Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
| Practice Telephone | 5052623212 |
| Practice Fax Number | 5052321532 |
| Mailing Telephone | 5052623212 |
| Mailing Fax Number | 5052321532 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN-CNP57838 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95001139 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9233 W Pico Blvd, Suite #230, Los Angeles, CA 900351386 | 3103568146 | 3106911165 |
| Street Address |
5150 JOURNAL CENTER BLVD., NE ADULT INTERNAL MEDICINE - 3RD FLOOR |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196075 | Janeya Diane Quintana | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-05-20 |
| 1922576826 | Melanie Lynne Stewart | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-11-08 |
| 1720211568 | Decy Devere | Nurse Practitioner | 8100 Constitution Pl Ne, Ste 400, Albuquerque, NM 87110-7643 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877218 | Diana Lee Gutierrez | Nurse Practitioner | 20b Landess Ln, Jarales, NM 87023-9714 | 2019-08-22 |
| 1275003154 | Joel Navarro | Nurse Practitioner | 1604 Sequoia Ave, Las Cruces, NM 88005-3068 | 2018-12-04 |
| 1710941224 | Annette Marie Vignogna Browne | Nurse Practitioner | 127 Camino Barranca, Placitas, NM 87043-9335 | 2006-04-12 |
| 1528526464 | Ilango Dharmarajan | Nurse Practitioner | 465 Saint Michaels Dr Ste 116, Santa Fe, NM 87505-7621 | 2019-03-11 |
| 1285119651 | Jennifer May | Nurse Practitioner | 111 W Hobbs St, Roswell, NM 88203-1869 | 2018-10-01 |
| 1932641982 | Svetoslav A. Arsov | Nurse Practitioner | 199 Nm-50, Pecos, NM 87552 | 2016-11-08 |
| 1154791077 | Kimberly A Lunar | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2015-10-05 |
| 1215334529 | Janet Anter | Nurse Practitioner | 1401 10th St, Suite 1, Alamogordo, NM 88310-5012 | 2014-12-02 |
| 1215197876 | Annette Vignogna Browne, Gnp, LLC | Nurse Practitioner | 127 Camino Barranca, Placitas, NM 87043-9335 | 2008-06-16 |
| 1598821076 | Susan Barrett | Nurse Practitioner | 465 Saint Michaels Dr, Suite 114, Santa Fe, NM 87505-7670 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on MRS. LEA ROTENBERG KOSHKIN.
| 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.