KIMBERLY ARCHULETA


Address: Pmg San Mateo, 401 San Mateo Blvd Se, Albuquerque, NM 87108
Phone: 5054627333

KIMBERLY ARCHULETA (NPI# 1811008717) 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) 1811008717
Entity Type Individual
Full Name KIMBERLY ARCHULETA
Credential CNP
Practice Address Pmg San Mateo
401 San Mateo Blvd Se
Albuquerque
NM 87108
Mailing Address Po Box 26666
Phs Provider Enrollment
Albuquerque
NM 87125-6666
Practice Telephone 5054627333
Practice Fax Number 5054627495
Mailing Telephone 5059235356
Mailing Fax Number 5059235354
Enumeration Date 2006-08-31
Last Update Date 2008-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
R43799 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 37289578 05

Office Location

Street Address PMG SAN MATEO
401 SAN MATEO BLVD SE
City ALBUQUERQUE
State NM
Zip Code 87108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306955638 Debra A Szymanski Pediatrics Pmg San Mateo, 401 San Mateo Blvd Se, Albuquerque, NM 87108 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588274393 Aubrey Bunnenberg Behavior Technician 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 2020-08-06
1336757301 Dailey Doss Physician Assistant Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 2020-07-16
1457990046 Christine Lovato Registered Nurse Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 2019-12-30
1265074405 Andrew Jacob Reuter Pharmacist 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 2019-10-09
1518517325 Lillian Abeyta Technician 1501 San Pedro Dr Se., Albuquerque, NM 87108 2019-09-13
1962970061 Donald Borrego Occupational Therapy Assistant 5200 Copper Ne, #7, Albuquerque, NM 87108 2018-11-06
1154808012 Catalina Castro Social Worker 209 San Pablo Se, Albuquerque, NM 87108 2018-07-24
1942721048 Walgreen Co Pharmacy 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 2017-06-29
1467981860 Jennifer Martinez Behavior Technician 628 Espanola Se, Albuquerque, NM 87108 2017-06-08
1457892465 J Dowd Counseling LLC Counselor 514 Monroe Street Se, Albuquerque, NM 87108 2017-03-10
Find all providers in zip 87108

Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730253477 Kelly L Caperton Obstetrics & Gynecology 201 Cedar Se Suite 507, Pmg Ob Hospitalist, Albuquerque, NM 87106 2006-11-17
1225123409 Bruno J Caridi Obstetrics & Gynecology Pmg Cedar Obgyn, 201 Cedar Se, Albuquerque, NM 87106 2006-10-04
1356436539 Cesar J. Hernandez Obstetrics & Gynecology 1010 Lead Ave Se Ste 4, Albuquerque, NM 87106-5214 2006-10-04
1639264716 Richard Sauerman Obstetrics & Gynecology 201 Cedar Se 5th Floor Suite 5600, Pmg Cedar Obgyn, Albuquerque, NM 87106 2006-10-04
1265448831 James R Hutchison Obstetrics & Gynecology 201 Cedar St Se Fl 5, Pmg Cedar Obgyn, Albuquerque, NM 87106-4917 2006-08-01
1841242047 Jose Cortes Obstetrics & Gynecology Pmg Ob Hospitalist, 201 Cedar Se Suite 507, Albuquerque, NM 87106 2006-05-16
1003875089 Kelly Drescher Obstetrics & Gynecology 883 Lead Ave Se Ste A, Albuquerque, NM 87102-3876 2006-03-20
1811175714 Lovelace Health Systems LLC Obstetrics & Gynecology 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 2008-02-04
1831306570 Sandia Obgyn Associates Obstetrics & Gynecology 4705 Montgomery Blvd Ne, Suite 105, Albuquerque, NM 87109-1226 2007-05-16
1548312929 Kelly B Stuart Obstetrics & Gynecology Pmg Cedar Obgyn, 201 Cedar Se, Albuquerque, NM 87106 2007-01-17
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87108

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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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