RAIZA STEPHANIE MENA (NPI# 1386150076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386150076 |
| Entity Type | Individual |
| Full Name | RAIZA STEPHANIE MENA |
| Credential | CNP |
| Practice Address |
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3619 |
| Mailing Address |
4101 Indian School Rd Ne Ste 110 Albuquerque NM 87110-3991 |
| Practice Telephone | 5057278206 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-85664 | NM | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP-03492 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 DR MARTIN LUTHER KING JR AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261611 | Gilbert M Martinez | Nuclear Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2005-10-31 |
| 1114533239 | Mattie Firlit | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-09-23 |
| 1184263303 | Seth Tyler Gambone | Nurse Anesthetist, Certified Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-01-06 |
| 1518527530 | Shannon Erickson | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-06-20 |
| 1396218095 | Caroline Jane Spencer | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-01-04 |
| 1023596491 | Jason Michael Rotonda | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 | 2018-07-30 |
| 1275010985 | Main Street Anesthesia of New Mexico, LLC | Anesthesiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-07-25 |
| 1740779560 | Paris Arlette Cook | Pharmacist | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-05-07 |
| 1255843710 | Bernadette Perea-zamora | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-10-24 |
| 1093237810 | Billy Jay Taylor | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-07-13 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196075 | Janeya Diane Quintana | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-05-20 |
| 1922576826 | Melanie Lynne Stewart | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-11-08 |
| 1720211568 | Decy Devere | Nurse Practitioner | 8100 Constitution Pl Ne, Ste 400, Albuquerque, NM 87110-7643 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877218 | Diana Lee Gutierrez | Nurse Practitioner | 20b Landess Ln, Jarales, NM 87023-9714 | 2019-08-22 |
| 1275003154 | Joel Navarro | Nurse Practitioner | 1604 Sequoia Ave, Las Cruces, NM 88005-3068 | 2018-12-04 |
| 1710941224 | Annette Marie Vignogna Browne | Nurse Practitioner | 127 Camino Barranca, Placitas, NM 87043-9335 | 2006-04-12 |
| 1528526464 | Ilango Dharmarajan | Nurse Practitioner | 465 Saint Michaels Dr Ste 116, Santa Fe, NM 87505-7621 | 2019-03-11 |
| 1285119651 | Jennifer May | Nurse Practitioner | 111 W Hobbs St, Roswell, NM 88203-1869 | 2018-10-01 |
| 1932641982 | Svetoslav A. Arsov | Nurse Practitioner | 199 Nm-50, Pecos, NM 87552 | 2016-11-08 |
| 1154791077 | Kimberly A Lunar | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2015-10-05 |
| 1215334529 | Janet Anter | Nurse Practitioner | 1401 10th St, Suite 1, Alamogordo, NM 88310-5012 | 2014-12-02 |
| 1215197876 | Annette Vignogna Browne, Gnp, LLC | Nurse Practitioner | 127 Camino Barranca, Placitas, NM 87043-9335 | 2008-06-16 |
| 1598821076 | Susan Barrett | Nurse Practitioner | 465 Saint Michaels Dr, Suite 114, Santa Fe, NM 87505-7670 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.