Department of Veterans Affairs

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R24940 Issued in NM

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Phone

(505) 265-1711

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By 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

Mrs. Elaine Louise Bawden, CNS

Title

Nurse Manager

Phone

(505) 265-1711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730192840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 APPLEWOOD LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076404",
            "telephone_number": "505-898-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAWDEN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "505-265-1711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "NM",
            "license": "R24940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dentinger, SLP-CF
• Phyllis McCurdy Denton, LPCC
• Johanna Depalma
• P Jon Depalma
• Department of Behavioral Health
• Brittany Depasquale, M.D.
• Julia D Depaula
• Paul Depetro, LMFT
• Deppa Therapy Services P.C.
• Joycemarie Deppa, OT

• Administrator Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Administrator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.