JENNIFER VERGEER


Address: 4901 Lang Ave Ne, Albuquerque, NM 87109-4495
Phone: 5058428171

JENNIFER VERGEER (NPI# 1538612353) 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) 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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NM 64689077 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4273 Montgomery Blvd Ne, Suite 200e, Albuquerque, NM 871096748 5058215992 5058216692

Office Location

Street Address 4901 LANG AVE NE
City ALBUQUERQUE
State NM
Zip Code 87109-4495

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588873301 Karim Singh Nurse Practitioner 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2007-05-21

Competitor

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City ALBUQUERQUE
Zip Code 87109

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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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