Organization Active NPI

Planned Parenthood of N.M., Inc.

  • Women's Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1184793283
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
PLANNED PARENTHOOD OF N.M., INC.
Practice address
719 San Mateo Blvd NE
Albuquerque, NM 87108-1434
Phone
(505) 265-5976
Fax
(505) 266-1017
NPI assigned
Nov 6, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Jenny C Black
Title
President/Ceo
Phone
(505) 265-5976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU Primary

Addresses

Primary practice location

719 San Mateo Blvd NE
Albuquerque, NM 87108-1434

Mailing address

719 San Mateo NE
Albuquerque, NM 87108
Phone (505) 265-5976

Other identifiers 1

IdentifierTypeStateIssuer
51045MedicaidNM

National Provider Directory

National Provider Directory

Locations

719 San Mateo Blvd NE
Albuquerque, NM 87108
Phone (505) 265-5976

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1184793283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SAN MATEO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-265-5976",
            "fax_number": "505-266-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081434",
            "telephone_number": "505-265-5976",
            "fax_number": "505-266-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF N.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "505-265-5976"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51045",
            "state": "NM"
        }
    ],
    "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 Mar 25, 2010; 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.