NPIMap

Individual provider Active NPI

Hiba Ghanem

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1043767452
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C-11403 Issued in NM
Practice address
2600 Yale Blvd SE Ste 2220
Albuquerque, NM 87106-4383
Phone
(505) 272-6700
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-09581NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital CurrentSince Oct 17, 2021 Accepting new patients
Rio Rancho Public Schools School Past Accepting new patients
Rio Rancho Public Schools Past Accepting new patients

Locations

2600 Yale Blvd SE
Ste 2220
Albuquerque, NM 87106
Phone (505) 272-4327

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X X-09581 NM
Social Worker 104100000X C-11403 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

2600 Yale Blvd SE Ste 2220
Albuquerque, NM 87106-4383

Mailing address

2600 Yale Blvd SE Ste 2220
Albuquerque, NM 87106-4383
Phone (505) 272-6710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2021.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1043767452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 YALE BLVD SE STE 2220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064383",
            "telephone_number": "505-272-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 YALE BLVD SE STE 2220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064383",
            "telephone_number": "505-272-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "HIBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-09581",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-11403",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.