NPIMap

Organization Active NPI

Clinimed Corporation

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1407035124
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R 14825 Issued in NM
Legal business name
CLINIMED CORPORATION
Practice address
6570 4TH St NW
Albuquerque, NM 87107-5813
Phone
(505) 345-3800
Fax
(505) 345-7840
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Donald Merle Hathaway, C.N.P.
Title
Owner
Phone
(505) 345-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R 14825 NM Primary

Addresses

Primary practice location

6570 4TH St NW
Albuquerque, NM 87107-5813

Mailing address

6570 4TH St NW
Albuquerque, NM 87107-5813
Phone (505) 345-3800

Other names 1

  • clinimed walk-in Doing business as

National Provider Directory

National Provider Directory

Locations

6570 4th St NW
Los Ranchos, NM 87107
Phone (505) 345-3800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1407035124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6570 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075813",
            "telephone_number": "505-345-3800",
            "fax_number": "505-345-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075813",
            "telephone_number": "505-345-3800",
            "fax_number": "505-345-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIMED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-345-3800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R 14825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clinimed walk-in",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2007; 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.