Active NPI
Academy of Trades and Technology SBHC
- Clinic/Center
- Albuquerque, NM
National Provider Identifier
1114187838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ACADEMY OF TRADES AND TECHNOLOGY SBHC
- Practice address
- 1718 Yale Blvd SE
Albuquerque, NM 87106-4136 - Phone
- (505) 765-5517
- NPI assigned
- Jun 16, 2008
- Last updated
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bonnie Kaufman
- Title
- Nurse
- Phone
- (505) 765-5517
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NM | Primary | |
| Clinical Medical Laboratory | 291U00000X | NM | ||
| Clinic Pharmacy | 3336C0002X | NM |
Addresses
Primary practice location
1718 Yale Blvd SE
Albuquerque, NM 87106-4136
Mailing address
1718 Yale Blvd SE
Albuquerque, NM 87106-4136
Phone (505) 765-5517
National Provider Directory
National Provider DirectoryLocations
1718 Yale Blvd SE
Albuquerque, NM 87106
Phone (505) 242-3118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1114187838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064136",
"telephone_number": "505-765-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 YALE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064136",
"telephone_number": "505-765-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADEMY OF TRADES AND TECHNOLOGY SBHC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "505-765-5517",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NM",
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NM",
"license": null,
"primary": false
}
],
"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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.