DJAA TLHENAI MEDICINE LODGE (NPI# 1164851382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164851382 |
| Entity Type | Organization |
| Organization Name | DJAA TLHENAI MEDICINE LODGE |
| Practice Address |
111 Carlisle Blvd Se Albuquerque NM 87106-1427 |
| Mailing Address |
Pob 4682 Albuquerque NM 87196 |
| Practice Telephone | 5058193403 |
| Mailing Telephone | 5058193403 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | OATZINU SHEELAKEE (FOUNDER) |
| Authorized Official Telephone | 5058193403 |
| Authorized Official Credential | IAMP |
| Is Organization Subpart | Y |
| Parent Organization Name | LI PA HENNE TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 12-00116271 | NM | Other Service Providers |
| Street Address |
111 CARLISLE BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-1427 |
| 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 |
| 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 |
| 1225478258 | Concepcion Guilez Jr. | Specialist | 220 52nd St Sw, Albuquerque, NM 87105-2502 | 2013-07-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on DJAA TLHENAI MEDICINE LODGE.
| 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.