Individual provider Active NPI

Briana B Roldan

  • Case Manager/Care Coordinator
  • Albuquerque, NM
National Provider Identifier
1689140774
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2301 Yale Blvd SE BLDG F
Albuquerque, NM 87106-4228
Phone
(505) 272-1221
Fax
(505) 925-4354
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X
Case Manager/Care Coordinator 171M00000X Primary
Rehabilitation Practitioner 225400000X NM

Addresses

Primary practice location

2301 Yale Blvd SE BLDG F
Albuquerque, NM 87106-4228

Mailing address

716 Salida Sandia SW
Albuquerque, NM 87105-7600
Phone (505) 450-2150

Other practice location 1

933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106-4375
Phone (505) 272-3120

Other practice location 2

2001B Centro Familiar Blvd SW
Albuquerque, NM 87105-4556
Phone (505) 272-5786

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital PastSince Dec 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1689140774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SALIDA SANDIA SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871057600",
            "telephone_number": "505-450-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 YALE BLVD SE BLDG F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064228",
            "telephone_number": "505-272-1221",
            "fax_number": "505-925-4354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Bradbury Dr SE Ste 2222",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064375",
            "country_code": "US",
            "telephone_number": "505-272-3120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001B Centro Familiar Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871054556",
            "country_code": "US",
            "telephone_number": "505-272-5786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "BRIANA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "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 11, 2020; 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.