MARY CARRILLO (NPI# 1962014522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962014522 |
Entity Type | Individual |
Full Name | MARY CARRILLO |
Practice Address |
435 Bluethorn Ct Sw Albuquerque NM 87121-9331 |
Practice Telephone | 5054403144 |
Mailing Telephone | 5054403144 |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477925790 | Mary Carrillo | Community Health Worker | 12264 Reed Ave, Grand Terrace, CA 92313-5432 | 2015-10-26 |
1356722268 | Mary Carrillo | Registered Nurse | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-06-16 |
Street Address |
435 BLUETHORN CT SW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87121-9331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
Find all providers in zip 87121 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
1205445897 | Doris C Hubert | Technician | 12716 Tomlinson Dr Se, Albuquerque, NM 87123-3716 | 2020-07-29 |
1932723897 | Kathryn L Bode | Technician | 8501 Rancho Del Cerro Dr Ne, Albuquerque, NM 87113-2076 | 2020-06-05 |
1295359750 | Severo Baca IIi | Technician | 5600 Gibson Blvd Se Apt 144, Albuquerque, NM 87108-5391 | 2020-06-01 |
1144840679 | Alexander Villalonga | Technician | 3013 Conchas St Ne, Albuquerque, NM 87111-4744 | 2020-04-24 |
1598308967 | Attila Peter Veres | Technician | 91 Juniper Hill Rd Ne, Albuquerque, NM 87122-1910 | 2019-10-17 |
1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87121 |
Please comment or provide details below to improve the information on MARY CARRILLO.
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.