MATRIX MEDICAL NETWORK OF NEW MEXICO LLC (NPI# 1083912893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083912893 |
| Entity Type | Organization |
| Organization Name | MATRIX MEDICAL NETWORK OF NEW MEXICO LLC |
| Other Organization Name | MATRIX MEDICAL NETWORK |
| Practice Address |
500 Marquette Ave Nw Albuquerque NM 87102-5340 |
| Mailing Address |
9201 E Mountain View Suite 220 Scottsdale AZ 85258 |
| Practice Telephone | 4808621677 |
| Practice Fax Number | 4807187643 |
| Mailing Telephone | 4808621700 |
| Mailing Fax Number | 4809071537 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING) |
| Authorized Official Telephone | 4808621695 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE HEALTH NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Matrix Medical Network | Doing Business As Name - Organization |
| Street Address |
500 MARQUETTE AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144549247 | Crystal Lynn Aragon | Behavioral Analyst | 500 Marquette Ave Nw, Albuquerque, NM 87102-5340 | 2010-05-28 |
| 1043810484 | Gladis Edith Hernandez | Behavior Technician | 500 Marquette Ave Nw, Albuquerque, NM 87102-5340 | 2020-10-26 |
| 1073148250 | Vera B Griego | Licensed Practical Nurse | 500 Marquette Ave Nw, Albuquerque, NM 87102-5340 | 2020-03-07 |
| 1609438027 | Desert Trans LLC | Non-emergency Medical Transport (VAN) | 500 Marquette Ave Nw, Albuquerque, NM 87102-5340 | 2019-07-05 |
| 1699212837 | Medical Services Services, LLC. | Case Management | 500 Marquette Ave Nw, Albuquerque, NM 87102-5340 | 2017-01-26 |
| 1588106025 | Caron C. Inglis | Behavioral Analyst | 500 Marquette Ave Nw, Albuquerque, NM 87102-5340 | 2016-11-15 |
| 1700235223 | Amable Counseling Inc. | Community/Behavioral Health | 500 Marquette Ave Nw, Suite 1200, Albuquerque, NM 87102-5340 | 2016-06-06 |
| 1053765511 | Linda Romero Pa | Clinic/Center | 500 Marquette Ave Nw, Suite 1200, Albuquerque, NM 87102-5340 | 2016-04-20 |
| 1245697770 | Acceptance LLC | Counselor | 500 Marquette Ave Nw, Suite 1234, Albuquerque, NM 87102-5340 | 2016-01-28 |
| 1659738979 | Rickie Palmer | Counselor | 500 Marquette Ave Nw, Suite 1234, Albuquerque, NM 87102-5340 | 2016-01-16 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606882 | Mountain Desert Health LLC | Nurse Practitioner | 2200 Panola St Sw, Albuquerque, NM 87121-2582 | 2020-07-06 |
| 1912538844 | Lorine Derusha | Nurse Practitioner | 625 Silver Ave Sw Fl 2, Albuquerque, NM 87102-3123 | 2020-01-29 |
| 1295374247 | Thomas William Cox | Nurse Practitioner | 12812 Constitution Ave Ne Apt 2, Albuquerque, NM 87112-6142 | 2019-12-21 |
| 1730720632 | Carmen Caterina Marcolina | Nurse Practitioner | 4201 Central Ave Nw # 3, Albuquerque, NM 87105-1630 | 2019-10-01 |
| 1700349834 | Heather Marie Pink | Nurse Practitioner | 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 | 2019-04-06 |
| 1467936187 | New Mexico Health Care Clinicians LLC | Nurse Practitioner | 3911 4th St Nw Ste A, Albuquerque, NM 87107-2510 | 2018-09-18 |
| 1609354398 | Marisa Escobar | Nurse Practitioner | 3613 State Hwy 528 Nw, Albuquerque, NM 87114-8918 | 2018-08-03 |
| 1154807725 | Andrea Chavez-benavidez | Nurse Practitioner | 6201 Jefferson St Ne Ste 103, Albuquerque, NM 87109-3431 | 2018-07-17 |
| 1356842488 | Jopaul Valles | Nurse Practitioner | 407 Solano Dr Ne, Albuquerque, NM 87108-1045 | 2018-02-23 |
| 1275045700 | Janna Rorebeck | Nurse Practitioner | 6804 Calle Santiago Ne, Albuquerque, NM 87113-1217 | 2017-10-24 |
| 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.