Vdex Diabetes NM-Brown

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VDEX DIABETES NM-BROWN

Practice address

1811 N Riverside Dr Ste C
Espanola, NM 87532-9550

Phone

(505) 747-0506

Fax

(505) 747-0507

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Sharon Brown, CNP

Title

Provider

Phone

(303) 483-8967

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fallon Laws Gravely, RN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1417380700

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1144717075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N RIVERSIDE DR STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329550",
            "telephone_number": "505-747-0506",
            "fax_number": "505-747-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N RIVERSIDE DR STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329550",
            "telephone_number": "505-747-0506",
            "fax_number": "505-747-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDEX DIABETES NM-BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "303-483-8967",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Valdez
• Rebecca Valdez
• Felix C. Valencia Jr.
• Brent J. Van Andel, M.D.
• Amanda Rose Vander Wiel, OT R/L
• Catherine L. Veilleux, FNP
• Celina Velasquez
• Laurel Rose Ver Burg
• Joyce Joann Viarrial, LMHC
• Melissa Paulette Vigil-Martinez

• All providers in Espanola, NM
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.