Fallen Angels LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

FALLEN ANGELS LLC

Practice address

5104 San Adan Ave NW
Albuquerque, NM 87120-1834

Phone

(626) 940-4511

NPI assigned

Dec 13, 2022

Last updated

Dec 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariah Rae Brown, NP

Title

Ceo

Phone

(505) 389-8100

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Arthur Brown

  • Behavior Technician
  • Albuquerque, NM
  • NPI 1790568814
  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1316658008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 SAN ADAN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201834",
            "telephone_number": "626-940-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 SAN ADAN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201834",
            "telephone_number": "626-940-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLEN ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-389-8100",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Falen, LPCC
• Katelynd Faler, SCM, CGC
• Douglas Falk, CCC-SLP
• Melissa Falkenstern
• Christina L Falker, PT, DPT
• Myrrhine Faller
• Sierra Nicole Fallis
• Stephanie Fallon, MD
• Michele Falzone, CNM
• Marc Famiglietta

• Health Educator in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Health Educator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.