SANDIA NATIONAL LABORATORIES (NPI# 1699166140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699166140 |
| Entity Type | Organization |
| Organization Name | SANDIA NATIONAL LABORATORIES |
| Practice Address |
1515 Eubank Blvd Se Bldg. 831/832 Albuquerque NM 87185-1019 |
| Practice Telephone | 5058444237 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | MR. PAUL HOMMERT (PRESIDENT) |
| Authorized Official Telephone | 5058447261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417298621 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg 831, Albuquerque, NM 87123-3453 | 2013-03-13 |
| 1083992846 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2011-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANDIA NATIONAL LABORATORIES | 1515 Eubank Se, Albuquerque, NM 87123-3453 |
| Street Address |
1515 EUBANK BLVD SE BLDG. 831/832 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87185-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1144612730 | Marena Pacheco | Dietitian, Registered | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87185-1019 | 2015-02-19 |
| 1871842955 | Toni Faye Kirby | Radiologic Technologist | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-09-05 |
| 1346599693 | Jon Pier | Health Educator | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123-1032 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639405434 | Jeriann C Peter | Registered Nurse | 1515 Eubank, Albuquerque, NM 87185 | 2009-10-29 |
| 1225425127 | Laura Tenorio | Case Manager/Care Coordinator | 1515 Eubank Se, Abq, NM 87185 | 2015-04-20 |
| 1962755009 | Denise Provoost | Physical Therapy Assistant | 1515 Eubank Blvd Se Bldg 832, Albuquerque, NM 87185 | 2012-10-25 |
| 1790162253 | Gina Marie Madison | Health Educator | 1515 Eubank Blvd Se Bldg. 831-832, Albuquerque, NM 87185-1019 | 2015-05-04 |
| 1609124999 | Dean M Klassy Sr. | Technician, Other | 1515 Eubank Blvd, Bldg 831/831, Albuquerque, NM 87185-1019 | 2012-08-17 |
| 1366797011 | Pierre Gerard Delmarcelle | Health Educator | 1515 Eubank Blvd Se 831/832, Albuquerque, NM 87185-1019 | 2012-07-18 |
| 1962758409 | Michael Anthony Romo | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg. 831/832, Albuquerque, NM 87185-1019 | 2012-08-02 |
| 1700132651 | Linda Marie Manke | Registered Nurse | 1515 Eubank Se, Bldg. 831/832, Albuquerque, NM 87185-1019 | 2012-07-30 |
| 1356697296 | Kathleen Marie Peterson | Registered Nurse | 1515 Eubank Blvd Se, Bldg. 831/832, Albuquerque, NM 87185-1019 | 2012-07-30 |
| 1861747230 | Derrick L. Ross | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg 831, Albuquerque, NM 87185-1019 | 2012-07-20 |
| Find all providers in zip 87185 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
| 1043472111 | University of New Mexico Medical Group, Inc. | Clinic/Center | 700 Louisiana Se, Albuquerque, NM 87108 | 2008-06-30 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1114307071 | Owens Administrative & Healthcare Support Services | Clinic/Center | 4300 Blake Rd Sw, Albuquerque, NM 87121-5179 | 2015-06-05 |
| 1174965610 | Presbyterian Medical Services | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2013-07-25 |
| 1598107039 | Presbyterian Medical Services | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2013-07-25 |
| 1043461163 | University of New Mexico | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2008-10-07 |
| 1518129683 | University of New Mexico Medical Group, Inc. | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2008-06-30 |
| 1427210590 | University of New Mexico Medical Group, Inc. | Clinic/Center | 415 Thaxton Ave Se, Albuquerque, NM 87102-4855 | 2008-06-30 |
| 1649431677 | University of New Mexico Medical Group, Inc. | Clinic/Center | 4700 Coal Ave Se, Albuquerque, NM 87108-2804 | 2008-06-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87185 |
Please comment or provide details below to improve the information on SANDIA NATIONAL LABORATORIES.
| 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.