Individual provider Active NPI

Susan Marie McGowen, PHD, EMT, ATC

  • Student in an Organized Health Care Education/Training Program
  • Albuquerque, NM
National Provider Identifier
1386600021
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
274 Issued in NM
Practice address
8817 Cherry Hills Rd NE
Albuquerque, NM 87111-1030
Phone
(505) 277-8167
Fax
(505) 277-6227
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 274 NM Primary

Addresses

Primary practice location

8817 Cherry Hills Rd NE
Albuquerque, NM 87111-1030

Mailing address

8817 Cherry Hills Rd NE
Albuquerque, NM 87111-1030
Phone (505) 277-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Emergency Medical Technician, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
274NMMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386600021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 CHERRY HILLS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111030",
            "telephone_number": "505-277-8167",
            "fax_number": "505-277-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 CHERRY HILLS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111030",
            "telephone_number": "505-277-8167",
            "fax_number": "505-277-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWEN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, EMT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "274",
            "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 13, 2026; 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.