KAREN ANN LONGENECKER


Address: 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851
Phone: 5052723459

KAREN ANN LONGENECKER (NPI# 1891266458) 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) 1891266458
Entity Type Individual
Full Name KAREN ANN LONGENECKER
Credential LCSW
Practice Address 2300 Menaul Blvd Ne Fl 3
Albuquerque
NM 87107-1851
Practice Telephone 5052723459
Practice Fax Number 5052723461
Mailing Telephone 5052723459
Mailing Fax Number 5052723461
Enumeration Date 2018-12-07
Last Update Date 2018-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine C-09658 NM Allopathic & Osteopathic Physicians
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
C-09658 NM Allopathic & Osteopathic Physicians
N 207QA0505X Family Medicine
Specialization: Adult Medicine
C-09658 NM Allopathic & Osteopathic Physicians
N 208000000X Pediatrics C-09658 NM Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
C-09658 NM Allopathic & Osteopathic Physicians
N 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
C-09658 NM Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3401 4th St Nw, Albuquerque, NM 871072423 5059945300
8200 Central Ave Se, Albuquerque, NM 871082408 5052725885

Office Location

Street Address 2300 MENAUL BLVD NE FL 3
City ALBUQUERQUE
State NM
Zip Code 87107-1851

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NPI Name Taxonomy Address Enumeration
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1386174829 Triple D Medical Transportation, LLC. Secured Medical Transport (VAN) 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 2017-06-18
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1811345549 Inverse Medical, LLC Non-emergency Medical Transport (VAN) 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 2016-06-03
1710349220 Evolv Strong, LLC Specialist/Technologist 3201 Candelaria Rd Ne, Albuquerque, NM 87107 2016-03-23
1982072443 Erik Robinson Social Worker 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 2015-09-14
1033505763 Sam Newmon Ma, Lpcc Counselor 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 2015-04-09
1760896203 Jocelyn Fiaschetti Social Worker 7704 4th Street Nw, Albuquerque, NM 87107 2014-06-12
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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1740898428 Dr. Maggie Wilson, PC Family Medicine 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 2020-07-17
1831734813 Leandra Lee Medina Family Medicine 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 2019-11-13
1093374589 Palliative and Transitional Care of Nm LLC Family Medicine 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 2019-06-10
1649834904 Mederi Life LLC Family Medicine 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 2019-04-23
1649733619 Susan Giron Family Medicine 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 2019-04-08
1982163267 Nm Spirit of Wellness LLC Family Medicine 123 Girard Blvd Se, Albuquerque, NM 87106-2227 2019-03-18
1144797135 Erin Aleisha Langford Family Medicine 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 2018-10-28
1740761972 Maria Marcela Colom Bickford Family Medicine Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 2018-08-26
1831678978 Delsie Irene Morrison Family Medicine 400 Tijeras Ave Nw Ste 200, Albuquerque, NM 87102-3252 2018-08-09
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Competitor

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City ALBUQUERQUE
Zip Code 87107

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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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