MICHELLE C UNDERWOOD (NPI# 1700811783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700811783 |
| Entity Type | Individual |
| Full Name | MICHELLE C UNDERWOOD |
| Credential | PA-C |
| Practice Address |
4705 Montgomery Blvd Ne Suite 301 Albuquerque NM 87109-1226 |
| Mailing Address |
6100 Pan American East Fwy Ne Suite 100 Albuquerque NM 87109-3427 |
| Practice Telephone | 5057274500 |
| Practice Fax Number | 5057274505 |
| Mailing Telephone | 5057276200 |
| Mailing Fax Number | 5057279590 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA20040046 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA20040046 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 20837054 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407267230 | Michelle Underwood | Licensed Vocational Nurse | 1045 W Olive St, San Bernardino, CA 92411-2323 | 2014-05-14 |
| 1316172349 | Michelle Denise Underwood | Registered Nurse | Rr 1 Box 339, Charleston, WV 25312-9724 | 2009-05-19 |
| 1275731572 | Michelle Friend Underwood | Physical Therapist | 9730 W Tropicana Ave, Suite 120, Las Vegas, NV 89147-8457 | 2007-07-07 |
| 1215059563 | Michelle Ann Underwood | Counselor | 265 Mattie M Kelly Blvd, Destin, FL 32541-2876 | 2007-04-06 |
| 1194986620 | Michelle Underwood | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-06-18 |
| Street Address |
4705 MONTGOMERY BLVD NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853872 | Susan Brandt Graham | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 | 2005-06-30 |
| 1578042958 | Rebecca Ann Archuleta | Midwife | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2018-08-07 |
| 1487166641 | Deanna Sue Marquardt Romine | Registered Nurse | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2017-10-27 |
| 1194278143 | Southwest Medical Associates, Inc. | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2016-07-26 |
| 1902296106 | Melynda Lopez | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2015-01-27 |
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1619392172 | Melissa Moore | Registered Nurse | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2014-02-20 |
| 1205272481 | Nicole M Dishong | Registered Nurse | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2013-05-15 |
| 1376884759 | Katheryne Anne Barron | Nurse Practitioner | 4705 Montgomery Blvd Ne, Lmg Gastroenterology Clinic 102, Albuquerque, NM 87109 | 2013-03-08 |
| 1487998639 | Christina C Chaney | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2012-11-11 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| 1457686511 | Bayle R. Curtis | Physician Assistant | 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 | 2009-10-07 |
| 1215173919 | Amber Dawn Hansen | Physician Assistant | 1100 Cenrral Ave Se, Albuquerque, NM 87106 | 2008-12-30 |
| 1508028606 | Angela Genette Baumeister | Physician Assistant | 707 13th St Nw, Albuquerque, NM 87102-1841 | 2008-06-30 |
| 1528230117 | Laura Wylie | Physician Assistant | 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 | 2008-03-24 |
| 1457406951 | Deneen Tomayko | Physician Assistant | 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 | 2007-01-24 |
| 1083793665 | Karen Kay Nester | Physician Assistant | 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on MICHELLE C UNDERWOOD.
| 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.