JACQUELINE L CROMEANS


Address: 715 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3661
Phone: 5057273040

JACQUELINE L CROMEANS (NPI# 1336233121) 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) 1336233121
Entity Type Individual
Full Name JACQUELINE L CROMEANS
Credential CNP
Practice Address 715 Dr Martin Luther King Jr Ave Ne
Albuquerque
NM 87102-3661
Mailing Address 715 Dr Martin Luther King Jr Ave Ne
Suite 102
Albuquerque
NM 87102-3661
Practice Telephone 5057273040
Practice Fax Number 5057273099
Mailing Telephone 5057273040
Mailing Fax Number 5057273099
Enumeration Date 2006-10-03
Last Update Date 2015-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine R49381 NM Allopathic & Osteopathic Physicians
Y 363L00000X Nurse Practitioner CNP01224 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 30838827 05

Office Location

Street Address 715 DR MARTIN LUTHER KING JR AVE NE
City ALBUQUERQUE
State NM
Zip Code 87102-3661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710989033 Lilibeth Sanchez-geswaldo Surgery 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 2005-06-01
1790183135 Lovelace Health System, LLC Internal Medicine 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 2014-12-17
1023342466 Rubens Barros Costa Filho Internal Medicine 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 2009-10-01
1427183458 Teresa Lynn Casteel Nurse Practitioner 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 2007-02-22
1811035074 Ignacio Garcia Internal Medicine 715 Dr Martin Luther King Jr Ave Ne, Suite 101, Albuquerque, NM 87102-3661 2007-02-01
1932115540 Charles Taylor Physician Assistant 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 2006-08-01
1346260544 Edmee Rodriguez Internal Medicine 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 2006-07-20
1780617357 Linda Kwiatkowski Surgery 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 2006-07-08
1669405247 Julie A Hinzman Physician Assistant 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 2006-07-08
1699738120 Patricia Lorraine Sanchez Specialist 715 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3661 2006-04-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720606882 Mountain Desert Health LLC Nurse Practitioner 2200 Panola St Sw, Albuquerque, NM 87121-2582 2020-07-06
1912538844 Lorine Derusha Nurse Practitioner 625 Silver Ave Sw Fl 2, Albuquerque, NM 87102-3123 2020-01-29
1295374247 Thomas William Cox Nurse Practitioner 12812 Constitution Ave Ne Apt 2, Albuquerque, NM 87112-6142 2019-12-21
1730720632 Carmen Caterina Marcolina Nurse Practitioner 4201 Central Ave Nw # 3, Albuquerque, NM 87105-1630 2019-10-01
1700349834 Heather Marie Pink Nurse Practitioner 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 2019-04-06
1467936187 New Mexico Health Care Clinicians LLC Nurse Practitioner 3911 4th St Nw Ste A, Albuquerque, NM 87107-2510 2018-09-18
1609354398 Marisa Escobar Nurse Practitioner 3613 State Hwy 528 Nw, Albuquerque, NM 87114-8918 2018-08-03
1154807725 Andrea Chavez-benavidez Nurse Practitioner 6201 Jefferson St Ne Ste 103, Albuquerque, NM 87109-3431 2018-07-17
1356842488 Jopaul Valles Nurse Practitioner 407 Solano Dr Ne, Albuquerque, NM 87108-1045 2018-02-23
1275045700 Janna Rorebeck Nurse Practitioner 6804 Calle Santiago Ne, Albuquerque, NM 87113-1217 2017-10-24
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Competitor

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City ALBUQUERQUE
Zip Code 87102

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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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