Organization Active NPI

Breatheamerica Albuquerque Inc.

  • Otolaryngology Physician
  • Albuquerque, NM
National Provider Identifier
1508299736
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
99-208 Issued in NM
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z6104MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.