Rewind Wellness and Aesthetics, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

REWIND WELLNESS AND AESTHETICS, LLC

Doing business as

RWA, LLC

Practice address

8705 Robby Ave SW
Albuquerque, NM 87121-9007

Phone

(505) 270-4255

Fax

(505) 581-3308

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Darlene Nickol Gonzales, FNP-BCNPI 1821492851

Title

Nurse Practitioner/Owner

Phone

(505) 270-4255

Specialties & licenses 1

Addresses

Other names 1

• RWA, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darlene Nickol Gonzales, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1821492851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1336978212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 ROBBY AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871219007",
            "telephone_number": "505-270-4255",
            "fax_number": "505-581-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 ROBBY AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871219007",
            "telephone_number": "505-270-4255",
            "fax_number": "505-581-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIND WELLNESS AND AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "NICKOL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "505-270-4255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RWA, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RWA, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Daniela Rey Alvarez
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• Primary Care Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.