ETHEL MAE JORGENSEN (NPI# 1538175377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538175377 |
| Entity Type | Individual |
| Full Name | ETHEL MAE JORGENSEN |
| Credential | CNP |
| Practice Address |
719 San Mateo Blvd Ne Albuquerque NM 87108-1434 |
| Mailing Address |
7109 Derickson Ave Ne Albuquerque NM 87109-4805 |
| Practice Telephone | 5052655976 |
| Mailing Telephone | 5058229179 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R23911 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
719 SAN MATEO BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043493166 | Linell Ann Thompson | Nurse Practitioner | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2007-12-12 |
| 1396950838 | Anne-marie Lehmann | Registered Nurse | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2007-05-10 |
| 1508994559 | Andrea Cormier | Physician Assistant | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2007-03-01 |
| 1184793283 | Planned Parenthood of N.m., Inc. | Nurse Practitioner | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1215953302 | Amy Jo Levi | Nurse Practitioner | Msc 09 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-07-14 |
| 1467441709 | Donna Ann Ketcheson | Nurse Practitioner | 801 Encino Pl Ne Ste D5, Albuquerque, NM 87102-2644 | 2005-10-19 |
| 1003441601 | Lauren Larkin | Nurse Practitioner | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2020-03-04 |
| 1912494311 | Grace Jacobson | Nurse Practitioner | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2018-04-20 |
| 1245611011 | Julie Ann Hall | Nurse Practitioner | University of New Mexico Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2015-06-17 |
| 1003255639 | Nicole Ann Badillo | Nurse Practitioner | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2013-06-17 |
| 1245515907 | Erin Rae Flint | Nurse Practitioner | 201 Cedar Se #405, 405, Albuquerque, NM 87106-3392 | 2011-10-13 |
| 1891009650 | Katherine Reilly Behning | Nurse Practitioner | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2010-08-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on ETHEL MAE JORGENSEN.
| 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.