NICOLE M DISHONG (NPI# 1205272481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205272481 |
| Entity Type | Individual |
| Full Name | NICOLE M DISHONG |
| Credential | CNM |
| Practice Address |
4705 Montgomery Blvd Ne Suite 301 Albuquerque NM 87109-1226 |
| Practice Telephone | 5057274500 |
| Practice Fax Number | 5057274505 |
| Mailing Telephone | 5057274500 |
| Mailing Fax Number | 5057274505 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R44853 | NM | Nursing Service Providers |
| Y | 176B00000X | Midwife | CNM647 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 97420271 | 05 |
| Street Address |
4705 MONTGOMERY BLVD NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853872 | Susan Brandt Graham | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 | 2005-06-30 |
| 1578042958 | Rebecca Ann Archuleta | Midwife | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2018-08-07 |
| 1487166641 | Deanna Sue Marquardt Romine | Registered Nurse | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2017-10-27 |
| 1194278143 | Southwest Medical Associates, Inc. | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2016-07-26 |
| 1902296106 | Melynda Lopez | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2015-01-27 |
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1619392172 | Melissa Moore | Registered Nurse | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2014-02-20 |
| 1376884759 | Katheryne Anne Barron | Nurse Practitioner | 4705 Montgomery Blvd Ne, Lmg Gastroenterology Clinic 102, Albuquerque, NM 87109 | 2013-03-08 |
| 1487998639 | Christina C Chaney | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2012-11-11 |
| 1598013716 | Jaya Nova Martin | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2012-08-20 |
| Find all providers in the same location | ||||
| 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 | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021903 | Jennifer Tejada | Midwife | 8401a W Sandia Cir Se, Albuquerque, NM 87116-5505 | 2019-09-10 |
| 1386204287 | Tirsa Eager | Midwife | 415 Stanford Dr Se, Albuquerque, NM 87106-3543 | 2019-06-13 |
| 1598328478 | Rachel Brunacini | Midwife | 2510 Rio Grande Blvd Nw, Albuquerque, NM 87104-3224 | 2019-04-17 |
| 1396092623 | Andrea M. Hill | Midwife | 1876 Tiovivo Cir Nw, Albuquerque, NM 87107-2832 | 2012-08-06 |
| 1326355686 | Jennifer Ann Robinson | Midwife | 2301 Yale Blvd Se Bldg E, Albuquerque, NM 87106-4228 | 2010-09-08 |
| 1740511294 | Jaymi Mckay | Midwife | 9808 Riverside Rd Nw, Albuquerque, NM 87114-1969 | 2010-01-22 |
| 1083948608 | Jessica Beth Weed | Midwife | 12036 Copper Ave Ne, Albuquerque, NM 87123-1474 | 2009-09-29 |
| 1497929723 | Mary Lou Singleton | Midwife | 4916 4th St Nw, Albuquerque, NM 87107-3949 | 2008-04-17 |
| 1891917647 | Julia Swart | Midwife | 11005 Spain Rd Ne Ste 9, Albuquerque, NM 87111-1871 | 2007-05-02 |
| 1730204462 | Patricia Anne Payne | Midwife | 2726 Santa Clara Ave Se, Albuquerque, NM 87106-3041 | 2007-03-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.