Active NPI
Gretchen Gilbertson Peterson, D.C.
- Chiropractor
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1046
- Practice address
- 9601 Sierra Vista CT NE
Suite a
Albuquerque, NM 87111-3422 - Phone
- (505) 299-4446
- Fax
- (505) 275-8505
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1046 | NM | Primary |
Addresses
Primary practice location
9601 Sierra Vista CT NE
Suite a
Albuquerque, NM 87111-3422
Mailing address
9601 Sierra Vista CT NE
Suite a
Albuquerque, NM 87111-3422
Phone (505) 299-4446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9601 Sierra Vista CT NE
Albuquerque, NM 87111-3461
Phone (505) 299-4446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandia Chiropractic Care PC | Chiropractor | Current | Accepting new patients |
Locations
9601 Sierra Vista Ct NE
Albuquerque, NM 87111
Phone (505) 299-4446
9601 Sierra Vista Ct NE
Ste A
Albuquerque, NM 87111
Phone (505) 299-4446
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Albuquerque, NM
- NPI 1295864122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548328768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 SIERRA VISTA CT NE",
"address_2": "SUITE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113422",
"telephone_number": "505-299-4446",
"fax_number": "505-275-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 SIERRA VISTA CT NE",
"address_2": "SUITE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113422",
"telephone_number": "505-299-4446",
"fax_number": "505-275-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "GRETCHEN",
"middle_name": "GILBERTSON",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1046",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.