NPIMap

Organization Active NPI

Diabetes Self-Management Center, Inc

  • Health Service Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1225178221
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
02373964009 Issued in NM
Legal business name
DIABETES SELF-MANAGEMENT CENTER, INC
Practice address
717 Encino PL NE
28
Albuquerque, NM 87102-2611
Phone
(505) 338-4800
Fax
(505) 338-4800
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Valerie Quinn, RN, CDENPI 1124158340
Title
Ceo
Phone
(505) 338-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 02373964009 NM Primary

Addresses

Primary practice location

717 Encino PL NE
28
Albuquerque, NM 87102-2611

Mailing address

717 Encino PL NE
28
Albuquerque, NM 87102-2611
Phone (505) 338-4800

Other identifiers 2

IdentifierTypeStateIssuer
00NM00R34YOtherNMBCBS
201079858OtherNMPRESBYTERIAN HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

717 Encino Pl NE
Ste 28
Albuquerque, NM 87102
Phone (505) 338-4800

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1225178221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "28",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-338-4800",
            "fax_number": "505-338-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "28",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-338-4800",
            "fax_number": "505-338-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SELF-MANAGEMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-338-4800",
        "authorized_official_credential": "RN, CDE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "02373964009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM00R34Y",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201079858",
            "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 Apr 22, 2008; 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.