KIMBERLY ARCHULETA (NPI# 1811008717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
R43799 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37289578 | 05 |
| Street Address |
PMG SAN MATEO 401 SAN MATEO BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306955638 | Debra A Szymanski | Pediatrics | Pmg San Mateo, 401 San Mateo Blvd Se, Albuquerque, NM 87108 | 2006-08-30 |
| 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 Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| 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 | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on KIMBERLY ARCHULETA.
| 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.