Shivon G Maldonado

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-76678 Issued in NM

Practice address

4716 Rhode Island PL NE
Albuquerque, NM 87109-1742

Phone

(505) 312-1671

NPI assigned

Mar 29, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1114621422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 RHODE ISLAND PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091742",
            "telephone_number": "505-312-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 RHODE ISLAND PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091742",
            "telephone_number": "505-312-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "SHIVON",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-76678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Monique Maldonado, LCSW
• Lianna Marie Maldonado, B.S.
• Maria Isela Maldonado
• Marisol Maldonado
• Marisol Maldonado, APRN, CPNP-PC
• Sophia Maldonado, CSW
• Thresa Noleszenski Maldonado, LMT
• Parastou Malek, M.D.
• Kathleen Edna Maley, D.O.
• Fauzia Malik, P.A.

• Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.