AMANDA VIOLET GRIPPEN GODDARD


Address: 7001 Signal Ave Ne, Albuquerque, NM 87113-2453
Phone: 5058262735

AMANDA VIOLET GRIPPEN GODDARD (NPI# 1710399654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710399654
Entity Type Individual
Full Name AMANDA VIOLET GRIPPEN GODDARD
Credential D.O.
Practice Address 7001 Signal Ave Ne
Albuquerque
NM 87113-2453
Mailing Address Po Box 603725
Charlotte
NC 28260-3725
Practice Telephone 5058262735
Practice Fax Number 5058562749
Mailing Telephone 8285752625
Mailing Fax Number 8283502174
Enumeration Date 2014-05-27
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology A233920 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 38337207 05
NM MEDICARE PTAN 1D3719 01
NM MEDICARE PTAN 1D3721 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1651 Galisteo St Ste 8, Santa Fe, NM 875054752 5058209870 5059831265

Office Location

Street Address 7001 SIGNAL AVE NE
City ALBUQUERQUE
State NM
Zip Code 87113-2453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922147958 Shanze Wang Allergy & Immunology 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 2007-02-06
1477707610 Michael V Calvin Physician Assistant 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 2008-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952944613 Wendy Valenciano Flores Behavior Technician 9019 Washington St Ne Building A, Albuquerque, NM 87113 2019-10-24
1336608504 Southwestern Provider Services LLC Registered Nurse 6400 Paseo Del Norte, Albuquerque, NM 87113 2019-03-18
1376047795 Anne K. Hempstead D.d.s., P.C. Dentist 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 2018-03-20
1447769518 Ethan Grant Behavior Technician 8500 Washington St Ste A1, Albuquerque, NM 87113 2017-09-21
1215451083 Sarah Bartlett Behavior Technician 8500 Washington St, Ste A1, Albuquerque, NM 87113 2017-08-02
1396109906 Cathy A Walters Specialist/Technologist 532 Osuna Rd Ne, Albuquerque, NM 87113 2016-04-09
1518389824 Esther Sanchez Home Health Aide 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 2014-01-07
1356775456 Danielle Juliet Fichera Social Worker 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 2013-08-26
1093053340 Eagle Pointe Dentists and Orthodontics, LLC Dentist 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 2013-01-22
1922346428 Keith Levitt Anesthesiology 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 2013-01-18
Find all providers in zip 87113

Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669612107 Alvi Family Inc Allergy & Immunology 2616 Mesilla St Ne Ste 1, Albuquerque, NM 87110-3659 2009-02-24
1437316817 Osman Caner Dokmeci Allergy & Immunology 8304 R C Gorman Ave Ne, Albuquerque, NM 87122-2718 2008-05-22
1225222144 Allergy and Asthma Care Inc. Allergy & Immunology 2509 Virginia St Ne Ste B, Albuquerque, NM 87110-4695 2007-09-04
1922147958 Shanze Wang Allergy & Immunology 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 2007-02-06
1871672535 Bruce H Feldman Allergy & Immunology 4901 Lang Ave Ne Ste 100, Albuquerque, NM 87109-4597 2006-11-03
1144235607 Mark Schuyler Allergy & Immunology 1 Unm, Msc10 5550, Albuquerque, NM 87131-0001 2006-07-30
1467475756 Michael H Keslin Allergy & Immunology 6100 Pan American East Fwy Ne, Suite 330, Albuquerque, NM 87109-3427 2006-07-26
1225007644 Shayne C Stokes Allergy & Immunology 377 Mdg Sghq, 2050a Second Street Se, Albuquerque, NM 87117-5522 2006-03-16
1811969322 Ronald John Rosandich Allergy & Immunology 8010 Mountain Rd Ne, Albuquerque, NM 87110-7840 2006-02-07
1437158664 Katherine Jean Abernathy-carver Allergy & Immunology 2509 Virginia St Ne, Ste B, Albuquerque, NM 87110-4694 2005-07-19
Find all providers in ALBUQUERQUE

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City ALBUQUERQUE
Zip Code 87113

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Dataset Information

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.

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