MS. SUZANNE MARIE ELDRED (NPI# 1114009602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114009602 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE MARIE ELDRED |
| Credential | COMS |
| Practice Address |
1501 San Pedro Ave Se Albuquerque NM 87108-5154 |
| Mailing Address |
9905 Arvilla Ave Ne Albuquerque NM 87111-4814 |
| Practice Telephone | 5052565404 |
| Mailing Telephone | 5052565404 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1501 SAN PEDRO AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487673463 | Sahreem Luergan | Physical Therapist | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2006-07-19 |
| 1053952291 | Anne Hewitt | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-30 |
| 1508407743 | Rohanna Muth | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-30 |
| 1710538988 | Teresa Ruiz | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-27 |
| 1053962993 | Veronica Chavez | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-23 |
| 1386295228 | Lisabeth Ann Durkee | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-23 |
| 1205486032 | Sheila Charley | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-13 |
| 1467002295 | Max Mcclellan | Technician | 1501 San Pedro Ave Se, Albuquerque, NM 87108 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on MS. SUZANNE MARIE ELDRED.
| 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.