LAND OF ENCHANTMENT AUDIOLOGY LLC (NPI# 1831588052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831588052 |
| Entity Type | Organization |
| Organization Name | LAND OF ENCHANTMENT AUDIOLOGY LLC |
| Practice Address |
264 S Camino Del Pueblo Building B Bernalillo NM 87004-6070 |
| Mailing Address |
5901 Wyoming Blvd Ne Ste J-124 Albuquerque NM 87109-3838 |
| Practice Telephone | 5058079805 |
| Mailing Telephone | 5058079805 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | DR. TOBY ELIZABETH WILSON (AUDIOLOGIST) |
| Authorized Official Telephone | 5058079805 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
4526 | NM | Ambulatory Health Care Facilities |
| Street Address |
264 S CAMINO DEL PUEBLO BUILDING B |
| City | BERNALILLO |
| State | NM |
| Zip Code | 87004-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912557729 | Mary Webster Birch | Technician | 306 Riesling Rd, Bernalillo, NM 87004 | 2019-09-13 |
| 1992364483 | Vineeta Kannan | Pharmacist | 203 Sandia Day School Rd., Bernalillo, NM 87004 | 2019-06-10 |
| 1003339748 | Bryanna M Vaio | Pharmacist | 460 Nm Hwy 528, Bernalillo, NM 87004 | 2017-07-25 |
| 1033668843 | Charlotte Branson | Registered Nurse | 301 Calle De Escuela, Bernalillo, NM 87004 | 2016-09-22 |
| 1740737394 | Karin Ludi | Registered Nurse | 148 Spartan Alley, Bernalillo, NM 87004 | 2016-09-01 |
| 1356729214 | Mirey Hernandez | Case Manager/Care Coordinator | 255a Carino Del Pueblo, Bernalillo, NM 87004 | 2015-05-12 |
| 1396138038 | Enchanted Hills Dentistry, Professional Corporation | Dentist | 470 New Mexico 528, A, Bernalillo, NM 87004 | 2015-03-05 |
| 1912319609 | Tate Rubinstein | Acupuncturist | 438 S. Camino Del Pueblo, Bernalillo, NM 87004 | 2014-05-29 |
| 1083043400 | Maria De Lourdes M. Grafe | Case Manager/Care Coordinator | 255-a Camino Del Pueblo, Bernalillo, NM 87004 | 2013-11-06 |
| 1932548799 | Bryan Graziano | Dentist | 470 Pat D'arco Hwy, Unit A, Bernalillo, NM 87004 | 2013-06-14 |
| Find all providers in zip 87004 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682945 | New Mexico Hearing Aid & Tinnitus Center LLC | Clinic/Center | 5553 Lilac Pl Ne, Rio Rancho, NM 87144-5804 | 2020-06-01 |
| 1790333532 | Exclusive Hearing Center LLC | Clinic/Center | 1161 Mall Dr Ste D, Las Cruces, NM 88011-8193 | 2019-08-26 |
| 1609345545 | Northland Hearing Center, Inc. | Clinic/Center | 107 S Second St, Gallup, NM 87301-6219 | 2018-11-21 |
| 1417430406 | Lazy River Therapy Services, LLC | Clinic/Center | 3 Road 3660, Aztec, NM 87410-9020 | 2018-09-14 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1811233588 | Bilingual Interventions, LLC | Clinic/Center | 3805 Atrisco Dr Nw, Suite B, Albuquerque, NM 87120-4980 | 2012-12-27 |
| 1629533641 | Zia Hearing Center, LLC | Clinic/Center | 4001 N Butler Ave Ste 5101, Farmington, NM 87401-2392 | 2019-02-04 |
| 1619482064 | Sunshine Kids Therapy, LLC | Clinic/Center | 325 S Main St Ste A, Belen, NM 87002-3503 | 2017-12-07 |
| 1780043083 | Speech & Language A To Z, LLC | Clinic/Center | 6501 Wyoming Blvd Ne, Building C, Suite 115, Albuquerque, NM 87109-3932 | 2016-02-15 |
| 1144640947 | Sophie R. Wagner, Nm Speech-language Pathologist, LLC | Clinic/Center | 1503 Central Ave Nw, Unit 202, Albuquerque, NM 87104-1180 | 2014-04-18 |
| Find all providers with the same taxonomy | ||||
| City | BERNALILLO |
| Zip Code | 87004 |
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| 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.