Organization Active NPI

Tranquilina Therapeutics LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1437840345
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANQUILINA THERAPEUTICS LLC
Practice address
1420 Carlisle Blvd NE Ste 201D201E
Albuquerque, NM 87110-5660
Phone
(505) 226-2937
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Fernando Ortiz
Title
Credentialing Manager
Phone
(575) 707-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1420 Carlisle Blvd NE Ste 201D201E
Albuquerque, NM 87110-5660

Mailing address

PO Box 11605
Albuquerque, NM 87192-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414001054 NM Part B Supplier - Clinic/Group Practice 9436673258 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

1420 Carlisle Blvd NE
Ste 201D201E
Albuquerque, NM 87110
Phone (505) 226-2937

3321 Candelaria Rd NE
Ste 411
Albuquerque, NM 87107

Practitioners & affiliated clinicians

Practitioners 1

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": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1437840345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11605",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871920605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CARLISLE BLVD NE STE 201D201E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105660",
            "telephone_number": "505-226-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILINA THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "575-707-8150"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 Oct 2, 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.