DR. SALLY L HARRIS (NPI# 1598788697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598788697 |
| Entity Type | Individual |
| Full Name | DR. SALLY L HARRIS |
| Credential | MD |
| Practice Address |
4600 Jefferson Ln Ne Suite D Albuquerque NM 87109-2134 |
| Practice Telephone | 5058844406 |
| Practice Fax Number | 5058841671 |
| Mailing Telephone | 5058844406 |
| Mailing Fax Number | 5058841671 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
98284 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z3855 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638507 | Sally Harris | Technician/Technologist | 2732 Gazing Stars St, North Las Vegas, NV 89030-4773 | 2018-11-19 |
| 1013132299 | Sally E Harris | Nurse Practitioner | 2000 S Wheeling Ave Ste 900, Tulsa, OK 74104-5647 | 2007-04-14 |
| 1689199507 | Sally Harris | Occupational Therapist | 1407 Ashley River Rd, Charleston, SC 29407-5305 | 2017-08-11 |
| 1811221393 | Sally E Harris | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2009-09-30 |
| 1205980190 | Sally Harris | Pediatrics | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2007-01-22 |
| 1538117023 | Sally Harris | Counselor | 510 S Main St, Clinton, IN 47842-2416 | 2006-05-05 |
| Street Address |
4600 JEFFERSON LN NE SUITE D |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405064 | Melvin Romero | Family Medicine | 4600 Jefferson Ln Ne, Suite A, Albuquerque, NM 87109-2134 | 2005-11-23 |
| 1821364902 | Family Clinic of New Mexico | Preferred Provider Organization | 4600 Jefferson Ln Ne, Suite D, Albuquerque, NM 87109-2134 | 2012-03-22 |
| 1902112956 | Romero Family Medicine,llc | Clinic/Center | 4600 Jefferson Ln Ne, Suite A, Albuquerque, NM 87109-2134 | 2010-08-27 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083841399 | Elizabeth M Macri | Psychiatry & Neurology | 2211 Lomas Blvd Ne Unm-neurology Msc10 5620, Albuquerque, NM 87131-3011 | 2009-06-12 |
| 1417193459 | Semiramis Youssof | Psychiatry & Neurology | Msc 10 5620, Albuquerque, NM 87131-0001 | 2008-12-22 |
| 1831355106 | Matthew Todd Starr | Psychiatry & Neurology | Department of Neurology Msc10 5620 Health Ctr, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-08-05 |
| 1457531022 | John A Campa IIi | Psychiatry & Neurology | 7520 Montgomery Blvd Ne Bldg E4, Albuquerque, NM 87109-1554 | 2007-11-12 |
| 1730381179 | Erik Burton | Psychiatry & Neurology | 1101 Yale Blvd Ne, Albuquerque, NM 87106-3834 | 2007-06-05 |
| 1487856431 | Kenneth Imerman | Psychiatry & Neurology | Department of Neurology Msc10 5620, Health Science Center, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-01 |
| 1124167135 | Baljinder S Sandhu | Psychiatry & Neurology | Pmg Cedar Neurology, 201 Cedar Se, Albuquerque, NM 87106 | 2007-02-06 |
| 1821137837 | Luzma Cardona | Psychiatry & Neurology | Unm Hospital Neurology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| 1235297839 | Manuel A Gurule | Psychiatry & Neurology | 4273 Montgomery Ne, Suite 110, Albuquerque, NM 87109-6746 | 2006-12-05 |
| 1417041807 | Anna Y Vigil | Psychiatry & Neurology | 201 Cedar St Se Ste 5630, Pmg Cedar Neurology, Albuquerque, NM 87106-4920 | 2006-10-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. SALLY L HARRIS.
| 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.