Active NPI
Mariana Boitano, L.P.N
- Licensed Practical Nurse
- Albuquerque, NM
National Provider Identifier
1508319310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN- 22377
- Practice address
- 5400 Gibson Blvd.
Albuquerque, NM 87111 - Phone
- (505) 345-9512
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN- 22377 | NM | MD | Licensed Practical Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN- 22377 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5400 Gibson Blvd.
Albuquerque, NM 87111
Mailing address
3615 Horacio CT.
Albuquerque, NM 87111
Phone (505) 850-6288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2016.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1508319310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 HORACIO CT.",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87111",
"telephone_number": "505-850-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 GIBSON BLVD.",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87111",
"telephone_number": "505-345-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOITANO",
"first_name": "MARIANA",
"credential": "L.P.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NM",
"license": "LPN- 22377",
"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 Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.