SEREENA RAE TELLES (NPI# 1538630470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538630470 |
| Entity Type | Individual |
| Full Name | SEREENA RAE TELLES |
| Practice Address |
600 Camino Espanol Nw Albuquerque NM 87107-5817 |
| Mailing Address |
4639 Holiday Breeze Pl Ne Albuquerque NM 87111-2658 |
| Practice Telephone | 5053454450 |
| Mailing Telephone | 5756400788 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA6578 | NM | Speech, Language and Hearing Service Providers |
| Street Address |
600 CAMINO ESPANOL NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750701462 | Lsg and Associates LLC | Day Training, Developmentally Disabled Services | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2014-04-21 |
| 1306482120 | Lsg and Associates Inc | Speech-Language Pathologist | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2019-11-27 |
| 1013563519 | Joshua Louis Pagillo | Speech-Language Pathologist | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2019-08-12 |
| 1972086098 | Patrica Diane Elliott | Occupational Therapist | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2018-09-13 |
| 1255833760 | Keelin Hubbard | Speech-Language Pathologist | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2018-03-01 |
| 1811343882 | Elizabeth Martinez | Occupational Therapy Assistant | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1447336458 | Naomi Roxxann Noel Lopez-dunlap | Specialist/Technologist | 6519 4th St. Sw, Albuquerque, NM 87107 | 2006-10-31 |
| 1215400528 | Michael Campbell | Specialist/Technologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2019-01-09 |
| 1720093503 | Albuquerque Speech Language and Hearing Center | Specialist/Technologist | 9500 Montgomery Blvd Ne Ste 215, Albuquerque, NM 87111-2579 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499035 | Geraldlynn Anderson | Specialist/Technologist | 610 W Bender Blvd Ste 1300, Hobbs, NM 88240-2241 | 2020-08-26 |
| 1932757895 | Jay Richard Harvey | Specialist/Technologist | 5300 Foothills Dr, Farmington, NM 87402-8279 | 2019-09-03 |
| 1841855277 | Jennifer G Labrado | Specialist/Technologist | 1451 Donaldson Ave, Anthony, NM 88021-8103 | 2019-05-01 |
| 1093288268 | Telia Mcguire | Specialist/Technologist | 1118 Valley View Dr Sw, Los Lunas, NM 87031-6143 | 2019-01-09 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1831638071 | Cherayah Valdez | Specialist/Technologist | 10 Road 6400, Kirtland, NM 87417-9500 | 2017-02-21 |
| 1255790283 | Ariana Matta | Specialist/Technologist | 405 S 6th St, Artesia, NM 88210-2079 | 2016-02-18 |
| 1437539772 | Alyssa Allen | Specialist/Technologist | 1500 S Ave. K, Station 3, Shroc, Portales, NM 88130 | 2015-06-02 |
| 1154744639 | Audrey Pacheco | Specialist/Technologist | 512 S Aspen Ave, Roswell, NM 88203-1504 | 2014-02-03 |
| 1477975126 | Kelley June Witt | Specialist/Technologist | 1404 W Ray Ave, Artesia, NM 88210-2207 | 2014-01-15 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on SEREENA RAE TELLES.
| 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.