Active NPI
Breatheamerica Albuquerque Inc.
- Otolaryngology Physician
- Albuquerque, NM
National Provider Identifier
1508299736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 99-208
- Legal business name
- BREATHEAMERICA ALBUQUERQUE INC.
- Practice address
- 4901 Lang Ave NE Ste 100
Albuquerque, NM 87109-4597 - Phone
- (505) 883-2574
- Fax
- (505) 265-4033
- NPI assigned
- Aug 12, 2013
- Last updated
- Sep 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cathy L Guzman
- Title
- Office Manager
- Phone
- (505) 883-2574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 99-208 | NM | Primary |
Addresses
Primary practice location
4901 Lang Ave NE Ste 100
Albuquerque, NM 87109-4597
Mailing address
4901 Lang Ave NE Ste 100
Albuquerque, NM 87109-4597
Phone (505) 883-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z6104 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1144729062
-
- Otolaryngology Physician
- Austin, TX
- NPI 1548234842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378857600000",
"number": "1508299736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE STE 100",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094597",
"telephone_number": "505-883-2574",
"fax_number": "505-265-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE STE 100",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094597",
"telephone_number": "505-883-2574",
"fax_number": "505-265-4033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHEAMERICA ALBUQUERQUE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2013-09-11",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "505-883-2574",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "99-208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z6104",
"state": "NM"
}
],
"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 Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.