SALLY JAYE VALDEZ (NPI# 1528580818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528580818 |
| Entity Type | Individual |
| Full Name | SALLY JAYE VALDEZ |
| Practice Address |
3820 Commons Ave Ne Albuquerque NM 87109-5831 |
| Practice Telephone | 5059234400 |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2019-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP-03279 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-03279 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3820 COMMONS AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629030390 | Pamela O Black | Physical Medicine & Rehabilitation | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2006-04-06 |
| 1598320251 | Amanda Christine Renfro | Nurse Practitioner | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2019-05-07 |
| 1558856534 | Ruben Tchounbia | Nurse Practitioner | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2018-06-22 |
| 1699292920 | Allison Kuszmaul Mills | Nurse Practitioner | 3820 Commons Ave Ne, Albuquerque, NM 87109 | 2017-08-28 |
| 1629425038 | Nawid Farhad | Pharmacist | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2016-05-16 |
| 1972918548 | Jason Michael Perea | Physical Therapist | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2014-06-23 |
| 1023134863 | Kyle I Schoenberger | Emergency Medicine | 3820 Commons Ave Ne, Albuquerque, NM 87109 | 2007-03-22 |
| 1174631048 | Judy Kay Rose | Nurse Practitioner | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2006-08-29 |
| 1093752545 | Pamela O Black Md Pa | Physical Medicine & Rehabilitation | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2006-06-01 |
| 1407803893 | Michael L. Pylman | Anesthesiology | 3820 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SALLY JAYE VALDEZ.
| 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.