DIABETES SELF-MANAGEMENT CENTER, INC (NPI# 1225178221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225178221 |
| Entity Type | Organization |
| Organization Name | DIABETES SELF-MANAGEMENT CENTER, INC |
| Practice Address |
717 Encino Pl Ne 28 Albuquerque NM 87102-2611 |
| Practice Telephone | 5053384800 |
| Practice Fax Number | 5053384800 |
| Mailing Telephone | 5053384800 |
| Mailing Fax Number | 5053384800 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | VALERIE QUINN (CEO) |
| Authorized Official Telephone | 5053384800 |
| Authorized Official Credential | RN, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
02373964009 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS | 00NM00R34Y | 01 |
| NM | PRESBYTERIAN HEALTH PLAN | 201079858 | 01 |
| Street Address |
717 ENCINO PL NE 28 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945494 | Pharmacy Capital LLC | Pharmacy | 717 Encino Pl Ne, Ste 1, Albuquerque, NM 87102-2611 | 2005-10-12 |
| 1154874303 | Shannon Pitcher | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2016-07-24 |
| 1124470703 | Life Family Healthcare, LLC | Clinic/Center | 717 Encino Pl Ne, Suite 4, Albuquerque, NM 87102-2611 | 2016-07-07 |
| 1942669460 | Aaahh Chirospa LLC | Chiropractor | 717 Encino Pl Ne, Ste 24, Albuquerque, NM 87102-2611 | 2016-02-11 |
| 1184082125 | Encino Dental Care, Inc. | Dental Hygienist | 717 Encino Pl Ne, Suite 7, Albuquerque, NM 87102-2611 | 2016-02-05 |
| 1093190936 | Scott Ricci | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2015-07-21 |
| 1376925164 | George Chandran Md | Internal Medicine | 717 Encino Pl Ne, Suite 19, Albuquerque, NM 87102-2611 | 2015-06-29 |
| 1083092092 | Pamela Gutierrez | Registered Nurse | 717 Encino Pl Ne, Suite 28, Albuquerque, NM 87102-2611 | 2015-05-11 |
| 1881003648 | Kapil Grewal | Dentist | 717 Encino Pl Ne, Ste 6, Albuquerque, NM 87102-2624 | 2014-08-06 |
| 1922426295 | Tamela Szaloy | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1619451994 | Abqhealthcare2you | Clinic/Center | 8609 Hampton Ave Ne, Albuquerque, NM 87122-2638 | 2018-09-21 |
| 1972038917 | Pa Medical Rehab Center LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste H, Albuquerque, NM 87110-3565 | 2017-04-27 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1285958199 | Bentzco, LLC | Clinic/Center | 3777 The American Rd Nw, Albuquerque, NM 87114-1338 | 2010-03-22 |
| 1710520291 | Abq Primary Psychiatry, LLC | Clinic/Center | 4308 Carlisle Blvd Ne, Albuquerque, NM 87107-4856 | 2019-10-28 |
| 1386190916 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 3101 Menaul Blvd Ne, Suite B, Albuquerque, NM 87107-1872 | 2016-09-01 |
| 1053765511 | Linda Romero Pa | Clinic/Center | 500 Marquette Ave Nw, Suite 1200, Albuquerque, NM 87102-5340 | 2016-04-20 |
| 1780067876 | Eastern Hills Health & Wellness LLC | Clinic/Center | 5800 Mcleod Rd Ne, Suite C, Albuquerque, NM 87109-2454 | 2015-07-07 |
| 1558792986 | Acc Health | Clinic/Center | 901 Lamberton Pl Ne Ste W, Albuquerque, NM 87107-1659 | 2013-12-11 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on DIABETES SELF-MANAGEMENT CENTER, INC.
| 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.