NPIMap

Organization Active NPI

Alive Inc.

  • Health Service Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1730515230
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PTO129672 Issued in NM
Legal business name
ALIVE INC.
Practice address
901 Rio Grande Blvd NW
Suite H260
Albuquerque, NM 87104-2057
Phone
(505) 896-8509
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Dawnette Burns
Title
President
Phone
(505) 896-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PTO129672 NM Primary

Addresses

Primary practice location

901 Rio Grande Blvd NW
Suite H260
Albuquerque, NM 87104-2057

Mailing address

901 Rio Grande Blvd NW
Suite H260
Albuquerque, NM 87104-2057
Phone (505) 896-8509

Other names 1

  • A Life Of Independence Values and Encouragement Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1730515230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW",
            "address_2": "SUITE H260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042057",
            "telephone_number": "505-896-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW",
            "address_2": "SUITE H260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042057",
            "telephone_number": "505-896-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DAWNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-896-8509"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "PTO129672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Life Of Independence Values and Encouragement",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 17, 2013; 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.