KIMBERLY ANN WALLACH


Address: 4710 Montgomery Blvd Ne, Albuquerque, NM 87109-1220
Phone: 8064708876

KIMBERLY ANN WALLACH (NPI# 1881201168) 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) 1881201168
Entity Type Individual
Full Name KIMBERLY ANN WALLACH
Credential NNP-BC
Practice Address 4710 Montgomery Blvd Ne
Albuquerque
NM 87109-1220
Mailing Address 3423 68th Dr
Lubbock
TX 79413-6121
Practice Telephone 8064708876
Mailing Telephone 8064708876
Enumeration Date 2020-09-30
Last Update Date 2020-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
AP144855 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY WALLACH

NPI Name Taxonomy Address Enumeration
1750391462 Kimberly S. Wallach Physician Assistant 6496 E State Route 69, Prescott Valley, AZ 86314-2920 2006-08-08
1023251816 Kimberly D. Wallach Registered Nurse 551 Broadway, Eagle, CO 81631 2009-04-09

Office Location

Street Address 4710 MONTGOMERY BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87109-1220

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
Find all providers in zip 87109

Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235464710 Tom Anthony Pantano Nurse Practitioner 715 Silver Ave Se, Albuquerque, NM 87102-3637 2009-10-16
1619434164 Matthew Grindstaff Nurse Practitioner 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 2019-02-20
1477002962 Jazmine Carr Valencia Nurse Practitioner 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 2016-09-26
1669869780 Nichole Cherie Hockenberry Nurse Practitioner 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2015-04-16
1841625852 Alexa S Lujan Nurse Practitioner 1100 Central Ave Se, Albuquerque, NM 87106-4930 2013-09-09
1790014876 Angela Elizabeth Bachicha Nurse Practitioner 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 2009-12-18
1093983462 Courtney Grassham Nurse Practitioner 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 2008-02-19
1851574917 Brenda Sue Gonzales Nurse Practitioner 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 2007-12-12
1184669368 Vanessa V Casarez Nurse Practitioner 1100 Central Ave Se, Albuquerque, NM 87106-4930 2006-06-19
1811935737 Rosaline R Tenorio Nurse Practitioner 1100 Central Ave Se, Albuquerque, NM 87106-4930 2006-06-03
Find all providers in ALBUQUERQUE

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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