ALISA ANN DAMHOLT (NPI# 1639640824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639640824 |
| Entity Type | Individual |
| Full Name | ALISA ANN DAMHOLT |
| Practice Address |
2600 Yale Blvd Se Albuquerque NM 87106-4383 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5059947999 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | C-11264 | NM | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | M-10135 | NM | Behavioral Health & Social Service Providers |
| Street Address |
2600 YALE BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478279 | Juliane Nichole Bohan | Family Medicine | 2600 Yale Blvd Se, Albuquerque, NM 87106-4217 | 2006-08-01 |
| 1073142048 | Sarah Garcia | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2020-04-02 |
| 1174080154 | Kenneth Ryan | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2019-02-26 |
| 1205392966 | Ericka Campa | Nurse's Aide | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2019-02-18 |
| 1184189441 | Joy Hernandez | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2019-01-31 |
| 1114499688 | Nayeli Castro | Nurse's Aide | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-21 |
| 1124590740 | Sarah Jaimie Romero | Social Worker | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-20 |
| 1699246363 | Norma Patricia Fernandez | Psychologist | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-06 |
| 1588132807 | Brandon J. Holmes | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-11-05 |
| 1366924235 | Nicolle E Bercier | Nurse's Aide | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355974 | Nicole Marie Padilla | Social Worker | 652 Vista Lejos Ln Sw, Albuquerque, NM 87121-8980 | 2020-01-21 |
| 1184261539 | Theresa Annette Bustos | Social Worker | 1900 Atrisco Dr Nw, Albuquerque, NM 87120-1146 | 2019-12-04 |
| 1437793395 | Stephanie Molina | Social Worker | 2440 Louisiana Blvd Ne Ste 300, Albuquerque, NM 87110-4394 | 2019-11-04 |
| 1639727571 | Celina Miera | Social Worker | 119 Industrial Ave Ne, Albuquerque, NM 87107-2283 | 2019-09-03 |
| 1174170955 | Stephanie Michele Camfield | Social Worker | 5323 Menaul Blvd Ne, Albuquerque, NM 87110-3113 | 2019-08-26 |
| 1336703156 | Edwin Vargas | Social Worker | 2617 Juan Tabo Blvd Ne Ste D, Albuquerque, NM 87112-2967 | 2019-04-26 |
| 1134690886 | Francisco Bussetti | Social Worker | 317 Panorama Pl Ne, Albuquerque, NM 87123-2128 | 2018-12-06 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| 1841774122 | Mona Ramlawi | Social Worker | 2900 Louisiana Blvd Ne Ste A2, Albuquerque, NM 87110-3550 | 2018-09-21 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.