Clitepic LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CNP00285 Issued in NM

Legal business name

CLITEPIC LLC

Practice address

700 High St NE
Albuquerque, NM 87102-2565

Phone

(505) 401-0810

Fax

(505) 858-1467

NPI assigned

Mar 23, 2011

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sophia Chu Rodgers, MSN, ACNP-C,FNP-C,

Title

Acute Care Nurse Practitioner

Phone

(505) 401-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norbert Jay Sanidad, CNP

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1497421820
  NPD (past)
• Mark C Sauerman, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
  • NPI 1326059569
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1144529694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 ACADEMY RD NE",
            "address_2": "#301-223",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117236",
            "telephone_number": "505-792-6590",
            "fax_number": "505-858-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022565",
            "telephone_number": "505-401-0810",
            "fax_number": "505-858-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLITEPIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "ACUTE CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-401-0810",
        "authorized_official_credential": "MSN, ACNP-C,FNP-C,"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP00285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q5234",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinimed Corporation (clinimed walk-in)
• Christopher Clinton Horn
• Joanne Clinton, CNP
• Christina Clise, PHARM.D
• Thomas Clise
• Diana Clokey, LD, RPH, CDE
• Duane Merle Clor
• Megan Close
• Monica Closner-Kozlowski, CNP
• Kelby Ann Clothier

• Acute Care Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acute Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.