Active NPI
Simone Michele Ali
- Peer Specialist
- Albuquerque, NM
National Provider Identifier
1083310015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1491
- Practice address
- 3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680 - Phone
- (505) 633-8173
- NPI assigned
- Feb 1, 2023
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1491 | NM | Primary |
Addresses
Primary practice location
3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680
Mailing address
1204 Nakomis Dr NE Unit C
Albuquerque, NM 87112-6079
Phone (505) 263-1738
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1491 | NM | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umoja Behavioral Health PC | Current | Accepting new patients |
Locations
3150 Carlisle Blvd NE
Ste 105
Albuquerque, NM 87110
Phone (505) 410-1379
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1063989648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1083310015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 NAKOMIS DR NE UNIT C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871126079",
"telephone_number": "505-263-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 CARLISLE BLVD NE STE 105",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101680",
"telephone_number": "505-633-8173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SIMONE",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "1491",
"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 Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.