Vanessa Archuleta- Dorrance

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861

Phone

(505) 828-3837

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Jumpstart, LLC

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1225206105
  NPD (past)
• Jumpstart, LLC

  • Clinical Child & Adolescent Psychologist
  • Albuquerque, NM
  • NPI 1477386852
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1063920148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WASHINGTON ST NE STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WASHINGTON ST NE STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131861",
            "telephone_number": "505-828-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Washington St NW Suite A-1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87113",
            "country_code": "US",
            "telephone_number": "505-828-3837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27777 Inkster Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345326",
            "country_code": "US",
            "telephone_number": "248-436-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHULETA- DORRANCE",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank A. Archibeque, M.D.
• Katlyn Archibeque
• Marie Angela Archibeque
• Mary M Archibeque
• Theresa Archibeque
• Amanda L Archuleta
• April Elizabeth Archuleta, LMT
• Brenda Archuleta
• Daniel Archuleta III, P.T.
• David Archuleta, PHARMD

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.