Elena Altagracia Gettis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

510120264 Issued in NM

Practice address

1013 Arizona St SE
Albuquerque, NM 87108-4827

Phone

(505) 304-4087

NPI assigned

Jul 11, 2017

Last updated

Mar 17, 2018By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760904882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 ARIZONA ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084827",
            "telephone_number": "505-304-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 ARIZONA ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084827",
            "telephone_number": "505-304-4087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Monroe avenue South East",
            "address_purpose": "LOCATION",
            "city": "Albuquerue",
            "state": "NM",
            "postal_code": "87108",
            "country_code": "US",
            "telephone_number": "505-363-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GETTIS",
        "first_name": "ELENA",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "510120264",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NM",
            "license": "510120264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVE LICENSE",
            "identifier": "510120264",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Isabel Gerstner, DPM MS
• Carole Eva Gervais, M.D.
• Luke M Gessel, M.D.
• Gestalt Speech Therapy
• Aaron J Geswaldo, DO
• Sarah Gettler
• Heather Getty
• Alexis Nicole Geuss
• Jack George Ghably, M.D.
• Ghaffari Medical Pharmacy (colonial heritage personal care)

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.