Active NPI
Joan Aurelia Gugliotta
- Registered Nurse
- Albuquerque, NM
National Provider Identifier
1558926576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R24861
- Practice address
- 13339 Chaco Cliff TRL SE
Albuquerque, NM 87123-1085 - Phone
- (505) 235-9802
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R24861 | NM | Primary |
Addresses
Primary practice location
13339 Chaco Cliff TRL SE
Albuquerque, NM 87123-1085
Mailing address
13339 Chaco Cliff TRL SE
Albuquerque, NM 87123-1085
Phone (505) 235-9802
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | address |
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 |
|---|---|---|---|
| R24861 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1558926576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13339 CHACO CLIFF TRL SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871231085",
"telephone_number": "505-235-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13339 CHACO CLIFF TRL SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871231085",
"telephone_number": "505-235-9802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGLIOTTA",
"first_name": "JOAN",
"middle_name": "AURELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R24861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "address",
"affiliation": "N",
"address_1": "13339 Chaco Cliff Trl SE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871231085",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.