MS. DEBORAH N. DEETZ


Address: 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314
Phone: 5058841114

MS. DEBORAH N. DEETZ (NPI# 1770570392) 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) 1770570392
Entity Type Individual
Full Name MS. DEBORAH N. DEETZ
Credential CNP
Practice Address 7850 Jefferson St Ne Ste 300
Albuquerque
NM 87109-4314
Practice Telephone 5058841114
Practice Fax Number 5058566320
Mailing Telephone 5058841114
Mailing Fax Number 5058566320
Enumeration Date 2005-09-29
Last Update Date 2015-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R20928 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 06525067 05
NM MEDICARE # 379487YX2Z 01

Office Location

Street Address 7850 JEFFERSON ST NE STE 300
City ALBUQUERQUE
State NM
Zip Code 87109-4314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215553854 Alison De La Concepcion Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2020-06-19
1003439233 Kira Elizabeth Wege Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2020-05-21
1942838735 Solomon Foulk Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2020-03-29
1558901330 Andrea Gonzales Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2020-01-09
1780235341 Stephanie Marie Smith Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2019-09-25
1144886862 Ellen Peabody Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2019-05-17
1174024988 Marisa Mancini Rothrock Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2018-02-27
1336648013 Sarafina Tabrum Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2018-02-07
1821596792 Stephanie Turner Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2018-01-25
1376926568 Karoline Pitts Counselor 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 2015-07-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1245869130 Indigo Psychiatric Services Nurse Practitioner 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 2020-04-03
1194388496 Anne E. Galanis Nurse Practitioner 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 2019-04-22
1790214344 La Paloma Clinic LLC Nurse Practitioner 431 Gene Ave Nw, Albuquerque, NM 87107-5320 2017-06-07
1437493020 Sarah Michael Workman Nurse Practitioner 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 2012-11-20
1437407301 Jayanna Warwick Nurse Practitioner 2015 Wyoming Blvd Ne, Suite F, Albuquerque, NM 87112-2622 2012-08-26
1780939975 Brenda Kaye Mckenna Nurse Practitioner Unm Department of Psychiatry and Behavioral Health Scie, 1 University of New Mexico, Albuquerque, NM 87131 2012-07-13
1194091603 Awareness Integration LLC Nurse Practitioner 219 Sierra Dr Se, Unit A, Albuquerque, NM 87108-2714 2012-03-29
1003148156 Maureen Kolomeir Nurse Practitioner 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109-3193 2010-01-30
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Competitor

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City ALBUQUERQUE
Zip Code 87109

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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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