Accelerated Wellness & Aesthetics PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ACCELERATED WELLNESS & AESTHETICS PC

Practice address

3901 Georgia St NE
Albuquerque, NM 87110-1359

Phone

(405) 537-0052

NPI assigned

Dec 6, 2022

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Gill, NPNPI 1326641630

Title

President

Phone

(505) 916-5128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Linn Gill, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1326641630
  Authorized official Same address or phone

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1659082121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE E4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101388",
            "telephone_number": "505-916-5128",
            "fax_number": "505-560-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101359",
            "telephone_number": "405-537-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED WELLNESS & AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-916-5128",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.