Organization Active NPI

Academy of Trades and Technology SBHC

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1114187838
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.