Amber N. Vigil, LD
Individual provider Active NPI Registered Dietitian · Isleta, NM
NPI 1235471558 · NPPES record last updated Jul 20, 2015
Key facts
- NPI
- 1235471558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD-0884 (NM)
- Practice address
- 01 Sagebrush Rd.
Isleta, NM 87022 - Phone
- (505) 869-3200
- Fax
- (505) 869-4881
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Isleta | Past | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-0884 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Rd.
Isleta, NM 87022
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-3200
Other providers in Isleta, NM
All providers in Isleta, NM · Registered Dietitian in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.