Carla Edythe Eide, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2006-0762 Issued in NM

Practice address

100 Deputy Dean Miera Dr SW
Albuquerque, NM 87151-0001

Phone

(505) 272-8950

NPI assigned

Feb 6, 2007

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1700925724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEPUTY DEAN MIERA DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871511000",
            "telephone_number": "505-839-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEPUTY DEAN MIERA DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871510001",
            "telephone_number": "505-272-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDE",
        "first_name": "CARLA",
        "middle_name": "EDYTHE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A118060",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2006-0762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ceide@teamcenturion.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Deputy Dean Miera Dr SW",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871510001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Vicki Lynn Eichelberger
• Karl Alexander Eichwald, PHARM D.
• Carolyn Denise Eifert, LMT, CMTPT
• Eight Northern Indian Pueblos Council, Inc. (Circle of Life South)
• Michelle Eimer, PHARM.D.
• Barbara Einhorn, M.D.
• Jane Marilyn Einhorn

• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.