Organization Active NPI

Vascular Access NM LLC

  • Gerontology Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1255035705
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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

Updated by the provider on Mar 19, 2024

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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.