RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC (NPI# 1639505712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639505712 |
| Entity Type | Organization |
| Organization Name | RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC |
| Practice Address |
8328 Cascade Park Ave Nw Albuquerque NM 87120-6523 |
| Practice Telephone | 5052203873 |
| Practice Fax Number | 5057925222 |
| Mailing Telephone | 5052203873 |
| Mailing Fax Number | 5057925222 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | MIKE A WALLACE (CEO MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5052203873 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
Nursing Service Providers |
| Street Address |
8328 CASCADE PARK AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770814915 | Roger Louis Gavi | Registered Nurse | 3604 Cameo Dr Se, Albuquerque, NM 87105-0204 | 2010-01-28 |
| 1255480828 | Sara Louise Santilli | Registered Nurse | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2007-01-10 |
| City | ALBUQUERQUE |
| Zip Code | 87120 |
Please comment or provide details below to improve the information on RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC.
| 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.