Active NPI
Planned Parenthood of N.M., Inc.
- Women's Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1184793283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51045 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.