MR. JEFFERY PAUL MCCOLLUM (NPI# 1780740985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780740985 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY PAUL MCCOLLUM |
| Credential | CFNP |
| Practice Address |
9201 Montgomery Blvd Ne Albuquerque NM 87111-2468 |
| Practice Telephone | 5052982505 |
| Mailing Telephone | 5052982505 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R33523 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 70526338 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942238498 | Jeffery S Mccollum | Nurse Anesthetist, Certified Registered | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2006-06-30 |
| Street Address |
9201 MONTGOMERY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426971 | Linda Marie Mcclanahan | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2006-09-14 |
| 1801387964 | Luz Elena Browning | Counselor | 9201 Montgomery Blvd Ne, Albuquerque, NM 87111-2468 | 2018-05-24 |
| 1700377868 | Julia Marie Herrera | Counselor | 9201 Montgomery Blvd Ne, Albuquerque, NM 87111-2468 | 2018-05-24 |
| 1346604857 | Kara Tromp | Counselor | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2016-04-11 |
| 1497171185 | Turning Point Detox, LLC | Rehabilitation, Substance Use Disorder Unit | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2014-03-05 |
| 1326382433 | Erickson Begay | Physical Therapy Assistant | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2012-11-15 |
| 1235447152 | Paul Norman Tucker | Counselor | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2010-09-14 |
| 1750610499 | Turning Point Recovery Center, Inc. | Clinic/Center | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2009-12-08 |
| 1538308754 | Belinda Joyce Griego | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2009-02-11 |
| 1699933572 | Shawn Christoffer Klocek | Physician Assistant | 9201 Montgomery Blvd Ne, After Hours Pediatrics Suite 201, Albuquerque, NM 87111-2468 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960153 | Renea M Reano | Nurse Practitioner | 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 | 2020-10-23 |
| 1225552094 | Sacheen Diahn Naddy | Nurse Practitioner | 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 | 2017-08-02 |
| 1689040461 | Elizabeth Rodgers | Nurse Practitioner | 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 | 2015-08-17 |
| 1245393032 | Bernadette Engler | Nurse Practitioner | 4308 Carlisle Blvd Ne Ste 210, Albuquerque, NM 87107-4849 | 2006-12-19 |
| 1255304176 | Roger Owen Blevins | Nurse Practitioner | Msc 10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-02-10 |
| 1134127079 | Carolyn Montoya | Nurse Practitioner | College of Nursing Msc O9 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2005-07-13 |
| 1912518770 | Megan Tess Baker | Nurse Practitioner | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2020-08-13 |
| 1972111433 | Kimberly A. Hart | Nurse Practitioner | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2020-07-21 |
| 1770101354 | Cynthia C Johnson | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-07-09 |
| 1730705286 | Madison Frances Lutz | Nurse Practitioner | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2020-06-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on MR. JEFFERY PAUL MCCOLLUM.
| 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.