Active NPI
Robert M Nelson, CPS
- Behavior Technician
- Albuquerque, NM
National Provider Identifier
1639405103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2600 Marble Ave NE
Albuquerque, NM 87106-1403 - Phone
- (505) 272-5453
- NPI assigned
- Oct 19, 2009
- Last updated
- Sep 1, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2600 Marble Ave NE
Albuquerque, NM 87106-1403
Mailing address
5601 Domingo Rd NE
Albuquerque, NM 87108-1610
Phone (505) 903-9166
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1639405103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DOMINGO RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081610",
"telephone_number": "505-903-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MARBLE AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061403",
"telephone_number": "505-272-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "CPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-19",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"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 Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.