Active NPI
Alisha Jabar
- Pediatrics Physician
- Albuquerque, NM
National Provider Identifier
1700151107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- AB7003469B1193
- Practice address
- 2211 Lomas Blvd NE
Acc Third Floor
Albuquerque, NM 87131-0001 - Phone
- (505) 272-5551
- Fax
- (505) 272-6845
- NPI assigned
- Mar 19, 2012
- Last updated
- Mar 19, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | AB7003469B1193 | NM | Primary |
Addresses
Primary practice location
2211 Lomas Blvd NE
Acc Third Floor
Albuquerque, NM 87131-0001
Mailing address
2211 Lomas Blvd NE
Acc Third Floor
Albuquerque, NM 87131-0001
Phone (505) 272-5551
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 |
|---|---|---|---|
| AB7003469B1193 | NM | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1700151107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"address_2": "ACC THIRD FLOOR",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-5551",
"fax_number": "505-272-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 LOMAS BLVD NE",
"address_2": "ACC THIRD FLOOR",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-5551",
"fax_number": "505-272-6845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABAR",
"first_name": "ALISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "AB7003469B1193",
"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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.