NPIMap

Organization Active NPI

Breatheamerica Albuquerque, Inc.

  • Allergy Physician
  • Albuquerque, NM
National Provider Identifier
1659607414
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
BREATHEAMERICA ALBUQUERQUE, INC.
Practice address
4901 Lang Ave NE
Suite 100
Albuquerque, NM 87109-4495
Phone
(505) 883-2574
Fax
(505) 883-0725
NPI assigned
Oct 28, 2009
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BREATHEAMERICA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Cecile Reed
Title
Representative
Phone
(505) 883-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

4901 Lang Ave NE
Suite 100
Albuquerque, NM 87109-4495

Mailing address

4901 Lang Ave NE
Suite 100
Albuquerque, NM 87109-4495
Phone (505) 883-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000911 NM Part B Supplier - Clinic/Group Practice 4789711912 Receives reassigned benefits from 8 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

5929 Balcones Dr
Ste 300
Austin, TX 78731

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1659607414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-883-2574",
            "fax_number": "505-883-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-883-2574",
            "fax_number": "505-883-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHEAMERICA ALBUQUERQUE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREATHEAMERICA, INC.",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "505-883-2574"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "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 Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.