Marguerite Archibeck

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

150 Issued in NM

Practice address

12424 Mangas TRL NE
Albuquerque, NM 87111-7265

Phone

(505) 280-7062

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2015.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1487040903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 MANGAS TRL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 MANGAS TRL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117265",
            "telephone_number": "505-280-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBECK",
        "first_name": "MARGUERITE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arca - Louisiana
• Arca - Park
• Arca - South Valley
• Arca - Trumbull
• Sarah Jean Archer, RN
• Michael J Archibeck, M.D.
• Alicia Archibeque, CSW
• Courtney Alicia Archibeque
• Frank A. Archibeque, M.D.
• Katlyn Archibeque

• All providers in Albuquerque, NM
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.