NICOLE M DISHONG


Address: 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226
Phone: 5057274500

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NM 97420271 05

Office Location

Street Address 4705 MONTGOMERY BLVD NE
SUITE 301
City ALBUQUERQUE
State NM
Zip Code 87109-1226

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ALBUQUERQUE
Zip Code 87109

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Dataset Information

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.

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