Active NPI
Vascular Access NM LLC
- Gerontology Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1255035705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- VASCULAR ACCESS NM LLC
- Practice address
- 700 High St NE
Albuquerque, NM 87102-2565 - Phone
- (505) 908-5192
- NPI assigned
- Mar 29, 2023
- 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
- Sandra P Gutierrez, APRN-CNP
- Title
- Owner
- Phone
- (505) 908-5192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
700 High St NE
Albuquerque, NM 87102-2565
Mailing address
6126 Cottontail Rd NE
Rio Rancho, NM 87144-1542
Phone (505) 908-5192
National Provider Directory
National Provider DirectoryLocations
3705 Ellison Rd NW
#197
Albuquerque, NM 87114
3705 Ellison Rd NW
Ste B1
Albuquerque, NM 87114
Phone (646) 863-5379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1255035705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 COTTONTAIL RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871441542",
"telephone_number": "505-908-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HIGH ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022565",
"telephone_number": "505-908-5192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR ACCESS NM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-29",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-908-5192",
"authorized_official_credential": "APRN-CNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.