UNIVERSITY OF NEW MEXICO (NPI# 1215261946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215261946 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NEW MEXICO |
| Other Organization Name | EAST MOUNTAIN FAMILY HEALTH |
| Practice Address |
1841b Highway 66 Edgewood NM 87015-9104 |
| Mailing Address |
1 University of New Mexico Msc 09 5350 Albuquerque NM 87131-0001 |
| Practice Telephone | 5052863100 |
| Practice Fax Number | 5052863102 |
| Mailing Telephone | 5052726284 |
| Mailing Fax Number | 5052728901 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2010-02-15 |
| Authorized Official Name | DR. NANCY RIDENOUR (DEAN UNM COLLEGE OF NURSING) |
| Authorized Official Telephone | 5052726284 |
| Authorized Official Credential | A.P.R.N., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| East Mountain Family Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609258656 | University of New Mexico | Special Hospital | 9125 Copper Ave Ne Apt 617, Albuquerque, NM 87123-1077 | 2015-06-26 |
| 1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
| 1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
| 1649446089 | University of New Mexico | Psychiatric Unit | Department of Psychiatry Som Msc09 5030, Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2008-05-06 |
| 1144605676 | University of New Mexico | Clinic/Center | 1 University of New Mexico, Msc10 5580, Albuquerque, NM 87131-0001 | 2015-07-27 |
| 1598019358 | University of New Mexico | Clinic/Center | 625 Silver Ave Sw, Albuquerque, NM 87102-3123 | 2012-11-01 |
| 1043461163 | University of New Mexico | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2008-10-07 |
| 1285714766 | University of New Mexico | Clinic/Center | 1201 Camino De Salud Ne, Albuquerque, NM 87102-4517 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF NEW MEXICO - GALLUP | 200 College Rd, Gallup, NM 87301-5603 |
| System for Award Management (SAM) Entities | UNIVERSITY OF NEW MEXICO AT LOS ALAMOS | 4000 University Dr, Los Alamos, NM 87544-2233 |
| System for Award Management (SAM) Entities | UNIVERSITY OF NEW MEXICO-TAOS | 1157 County Road 110, Ranchos De Taos, NM 87557-6000 |
| Street Address |
1841B HIGHWAY 66 |
| City | EDGEWOOD |
| State | NM |
| Zip Code | 87015-9104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772490 | Laura Hunsucker | Physical Therapist | 1090 Mountain Valley Road, Edgewood, NM 87015 | 2018-05-30 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1376895250 | Bianca Genco-morrison | Social Worker | 17 Venus Rd. West, Edgewood, NM 87015 | 2012-10-03 |
| 1447541909 | Rona H Vanwilligen | Physical Therapist | 1851 Highway 333, 2-b, Edgewood, NM 87015 | 2011-05-02 |
| 1679717789 | Alan Mannheimer | Pediatrics | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2009-04-21 |
| 1003085705 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 66 State Road #344, Edgewood, NM 87015 | 2008-02-27 |
| 1821270828 | Fowler Enterprises, Inc. | Physical Therapist | 1851-2b Old Highway 66, Edgewood, NM 87015 | 2007-11-30 |
| 1366630121 | Jeana Spindle | Speech-Language Pathologist | 27 Camino Estribor, Edgewood, NM 87015 | 2007-10-05 |
| 1679794457 | Sharon Louise Meyer | Social Worker | 14 El Prado, Edgewood, NM 87015 | 2007-05-01 |
| 1912035478 | Cecilia Gonzales Morris | Occupational Therapist | 204 Dinkle Road, Edgewood, NM 87015 | 2007-02-28 |
| Find all providers in zip 87015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333219 | Kiersten Proctor | Nurse Practitioner | 20 Medical Village Dr Ste 102, Edgewood, KY 41017-3490 | 2020-10-12 |
| 1598381048 | Temitayo Bosede Olaniyi | Nurse Practitioner | 2203 Philadelphia Rd, Edgewood, MD 21040-1109 | 2020-06-21 |
| 1306264296 | Frederick H Blodgett | Nurse Practitioner | 7 Municpal Way, Edgewood, NM 87015-7086 | 2014-03-28 |
| 1194154823 | Vivienne Prinz | Nurse Practitioner | 104 Quail Trl, Unit B, Edgewood, NM 87015-7185 | 2013-11-04 |
| 1932277514 | Beth B Vanairsdale | Nurse Practitioner | 521 Gerhard Dr, Edgewood, KY 41017-3284 | 2006-12-01 |
| 1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
| 1831198126 | Laura M Greene | Nurse Practitioner | 483 S Loop Rd, Edgewood, KY 41017-5446 | 2005-07-19 |
| 1386251957 | Cierra Dorado | Nurse Practitioner | 104 Quail Trl, Edgewood, NM 87015-7185 | 2020-09-28 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1205459369 | Thu Thanh Nguyen | Nurse Practitioner | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2020-05-24 |
| Find all providers in EDGEWOOD | ||||
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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.