BILA ASHDLA LLC (NPI# 1316086838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316086838 |
| Entity Type | Organization |
| Organization Name | BILA ASHDLA LLC |
| Other Organization Name | EDWARD. J. NEIDHARDT MBR |
| Practice Address |
103 S Saint Francis Dr Suite C Santa Fe NM 87501-2458 |
| Mailing Address |
3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 |
| Practice Telephone | 5039885667 |
| Practice Fax Number | 5058201632 |
| Mailing Telephone | 5035939875 |
| Mailing Fax Number | 5032823302 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | DR. EDWARD JOSEPH NEIDHARDT (PSYCHIATRIST) |
| Authorized Official Telephone | 5059885667 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 89267 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 41814 | 05 |
| Other Name | Type Code |
|---|---|
| Edward. J. Neidhardt MBR | Doing Business As Name - Organization |
| Street Address |
103 S SAINT FRANCIS DR SUITE C |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578511218 | Jonathan David Beamer | Psychiatry & Neurology | 103 S Saint Francis Dr, Ste C, Santa Fe, NM 87501-2458 | 2006-05-05 |
| 1679858955 | Catalina M Perez-lacey Md Pa | Psychiatry & Neurology | 103 S Saint Francis Dr, Suite C, Santa Fe, NM 87501-2458 | 2011-10-18 |
| 1194900340 | Mary Hasbah Roessel | Psychiatry & Neurology | 103 S Saint Francis Dr, Suite C, Santa Fe, NM 87501-2458 | 2008-01-07 |
| 1114089000 | Edward Joseph Neidhardt | Psychiatry & Neurology | 103 S Saint Francis Dr, Suite C, Santa Fe, NM 87501-2458 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| 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 |
|---|---|---|---|---|
| 1952706301 | Robert Marcus | Specialist | 1603 City Lights St, Santa Fe, NM 87507-7613 | 2014-10-28 |
| 1841694049 | Steven Borges | Specialist | 2085 Avenida San Diego, Santa Fe, NM 87507 | 2014-10-16 |
| 1457762411 | Ashley Fried | Specialist | 18b Ellis Ranch Rd, Santa Fe, NM 87505-9537 | 2014-05-13 |
| 1679997027 | Jennifer Antill | Specialist | 32 Paseo Del Valle, Santa Fe, NM 87508-1402 | 2014-02-05 |
| 1023451606 | Moriah J. Williams | Specialist | 1229 S Saint Francis Dr, Santa Fe, NM 87505-4052 | 2013-04-12 |
| 1417214347 | Kimberly Gibbs | Specialist | 1315 S Saint Francis Dr Ste 3, Santa Fe, NM 87505-4035 | 2012-04-17 |
| 1013280791 | Richard Grant Curless | Specialist | 2117 Foothills Rd, Santa Fe, NM 87505-4526 | 2012-02-11 |
| 1356628515 | Paula Summer Gore | Specialist | 2383 Camino Capitan, Apt #1, Santa Fe, NM 87505-6442 | 2011-11-15 |
| 1164706677 | Patricia Smith | Specialist | 490b W Zia Rd Ste 1, Santa Fe, NM 87505-7009 | 2011-10-03 |
| 1114222924 | Monica A Prerovsky | Specialist | 4671 San Ysidro Place, Santa Fe, NM 87507 | 2011-01-26 |
| Find all providers in SANTA FE | ||||
Please comment or provide details below to improve the information on BILA ASHDLA LLC.
| 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.