NPIMap

Organization Active NPI

Full Circle Wellnes Center

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1245495266
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FULL CIRCLE WELLNES CENTER
Practice address
1719 Girard Blvd NE
Albuquerque, NM 87106-1718
Phone
(505) 265-3400
NPI assigned
Jul 21, 2008
Organization subpart
Yes
Parent organization
A&M ENTERPRISES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Melissa Elizabeth Hernandez
Title
VP
Phone
(505) 265-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1719 Girard Blvd NE
Albuquerque, NM 87106-1718

Mailing address

1719 Girard Blvd NE
Albuquerque, NM 87106-1718
Phone (505) 265-3400

National Provider Directory

National Provider Directory
Tax ID family
A M Enterprises Inc Dba Full Circle Wellness Center2 organizations share this tax ID, including this one
Part of
A M Enterprises Inc Dba Full Circle Wellness Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1719 Girard Blvd NE
Albuquerque, NM 87106
Phone (505) 265-3400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1245495266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061718",
            "telephone_number": "505-265-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061718",
            "telephone_number": "505-265-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE WELLNES CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A&M ENTERPRISES, INC",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "505-265-3400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 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.