Individual provider Active NPI

Angie Leigh Avila-Quigley, RN

  • Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1811540834
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-81105 Issued in NM
Practice address
1515 Eubank
Albuquerque, NM 87117
Phone
(505) 845-0973
NPI assigned
Jul 18, 2019
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-81105 NM Primary

Addresses

Primary practice location

1515 Eubank
Albuquerque, NM 87117

Mailing address

9923 Columbus Cir NW
Albuquerque, NM 87114-4301
Phone (505) 417-1863

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-81105NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia National Laboratories CurrentSince Feb 13, 2022 Accepting new patients

Locations

1515 Eubank Blvd SE
Albuquerque, NM 87123
Phone (505) 844-4237

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1811540834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 COLUMBUS CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144301",
            "telephone_number": "505-417-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EUBANK",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87117",
            "telephone_number": "505-845-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA-QUIGLEY",
        "first_name": "ANGIE",
        "middle_name": "LEIGH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-81105",
            "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 Jul 18, 2019; 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.