NPIMap

Organization Active NPI

The University of New Mexico Health Sciences Center

  • Air Ambulance
  • Albuquerque, NM
National Provider Identifier
1518176692
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
F00025 Issued in NM
Legal business name
THE UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Practice address
Msc10 5590
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(505) 272-2275
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Dr. Janell Fuller, MD
Title
Assoc. Professor Newborn Transport
Phone
(505) 272-6409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X F00025 NM Primary

Addresses

Primary practice location

Msc10 5590
1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

Msc10 5590
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2275

Other identifiers 4

IdentifierTypeStateIssuer
G2199MedicaidNM
642OtherNMCHAMPUS
69715OtherNMPRES
NM0021ROtherNMBCBS

Other names 1

  • New Mexico Newborn Transport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Christobel Rendall20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1518176692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC10 5590",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC10 5590",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "ASSOC. PROFESSOR NEWBORN TRANSPORT",
        "authorized_official_telephone_number": "505-272-6409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NM",
            "license": "F00025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G2199",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "642",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRES",
            "identifier": "69715",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM0021R",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Mexico Newborn Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 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.