MRS. NANCY ROSE MAHDAVI (NPI# 1669481933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669481933 |
| Entity Type | Individual |
| Full Name | MRS. NANCY ROSE MAHDAVI |
| Credential | APRN, BC |
| Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5153 |
| Mailing Address |
1191 Comanche Ct Se Rio Rancho NM 87124-3066 |
| Practice Telephone | 5052651711 |
| Practice Fax Number | 5052562819 |
| Mailing Telephone | 5058918674 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R 36671 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 SAN PEDRO DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| 1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
| 1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
| 1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
| 1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
| 1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
| 1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
| 1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
| 1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| 1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295863892 | Anita Briscoe | Clinical Nurse Specialist | 718 Adams St Ne, Albuquerque, NM 87110-6224 | 2007-03-02 |
| 1669501276 | Christine Trubic Huntley | Clinical Nurse Specialist | 813 Marie Park Dr Ne, Albuquerque, NM 87123-1718 | 2007-03-02 |
| 1366467557 | Alice E Powsner | Clinical Nurse Specialist | 2128 Silver Ave Se, Albuquerque, NM 87106-4010 | 2006-07-12 |
| 1780693036 | Dianne Green Kooi | Clinical Nurse Specialist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558457309 | Annabelle X. Gutierrez Sisneros | Clinical Nurse Specialist | 1120 Industrial Park Rd, Suite 401, Espanola, NM 87532-0000 | 2006-10-05 |
| 1144297771 | Janice Marion Penn | Clinical Nurse Specialist | 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 | 2006-03-02 |
| 1427022342 | Carolyn Earnest | Clinical Nurse Specialist | 1502 S Saint Francis Dr, Santa Fe, NM 87505-4040 | 2006-02-15 |
| 1891991535 | Ruth Elaine Rhoad | Clinical Nurse Specialist | 211 W Mesa Ave, Suite 4, Gallup, NM 87301-6382 | 2007-06-21 |
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on MRS. NANCY ROSE MAHDAVI.
| 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.