JENNIFER VERGEER (NPI# 1538612353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538612353 |
Entity Type | Individual |
Full Name | JENNIFER VERGEER |
Credential | C.N.P. |
Practice Address |
4901 Lang Ave Ne Albuquerque NM 87109-4495 |
Mailing Address |
4273 Montgomery Blvd Ne Suite 200e Albuquerque NM 87109-6748 |
Practice Telephone | 5058428171 |
Practice Fax Number | 5052460684 |
Mailing Telephone | 5058215992 |
Mailing Fax Number | 5058216692 |
Enumeration Date | 2016-07-28 |
Last Update Date | 2020-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
CNP-03004 | NM | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 64689077 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4273 Montgomery Blvd Ne, Suite 200e, Albuquerque, NM 871096748 | 5058215992 | 5058216692 |
Street Address |
4901 LANG AVE NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87109-4495 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114920238 | Douglas A. Clark | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
1194387555 | Courtney Marquez | Physician Assistant | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2019-07-05 |
1922570118 | Angerene Mitchell-matthews | Nurse Practitioner | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2018-12-28 |
1700362597 | Sandra Lee Rowe | Nurse Practitioner | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2018-07-14 |
1528418274 | Rachel S Camp | Physician Assistant | 4901 Lang Ave Ne, Suite 100, Albuquerque, NM 87109-4495 | 2016-06-14 |
1457707150 | Deborah Schwartz | Family Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109 | 2016-05-11 |
1407227002 | Truecare LLC | Family Medicine | 4901 Lang Ave Ne, Ste 202, Albuquerque, NM 87109-4495 | 2015-10-08 |
1174911093 | New Mexico Center for Minimally Invasive Therapies | Radiology | 4901 Lang Ave Ne, Suite 202, Albuquerque, NM 87109-4495 | 2014-12-30 |
1538566211 | Felicia R. Mazzei | Nurse Practitioner | 4901 Lang Ave Ne, Albuquerque, NM 87109 | 2014-11-25 |
1942631403 | Steve Sambrano | Physician Assistant | 4901 Lang Ave Ne, Ste 100, Albuquerque, NM 87109-4495 | 2013-12-10 |
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 | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730510652 | Michelle Ingrid Adler | Nurse Practitioner | 3804 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2013-12-02 |
1952749764 | Jennifer Christine Wichman | Nurse Practitioner | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2013-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588873301 | Karim Singh | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-05-21 |
City | ALBUQUERQUE |
Zip Code | 87109 |
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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.