Active NPI
Elizabeth Anne Ferrell, RDH CPDH BS
- Dental Hygienist
- Albuquerque, NM
National Provider Identifier
1023134699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH1453
- Practice address
- 400 San Felipe NW
Suite F
Albuquerque, NM 87104 - Phone
- (505) 379-2131
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH1453 | NM | Primary |
Addresses
Primary practice location
400 San Felipe NW
Suite F
Albuquerque, NM 87104
Mailing address
PO Box 1953
Tijeras, NM 87059
Phone (505) 379-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72923733 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH1453 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023134699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1953",
"city": "TIJERAS",
"state": "NM",
"postal_code": "87059",
"telephone_number": "505-379-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAN FELIPE NW",
"address_2": "SUITE F",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87104",
"telephone_number": "505-379-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RDH CPDH BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH1453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72923733",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.