Charlene Nicolette Gabaldon, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

R42860 Issued in NM

Practice address

01 Sagebrush
Isleta, NM 87022

Phone

(505) 869-3200

Fax

(505) 869-4881

NPI assigned

Sep 19, 2019

Last updated

Oct 18, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1811547995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220640",
            "telephone_number": "505-869-4866",
            "fax_number": "505-869-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "87022",
            "telephone_number": "505-869-3200",
            "fax_number": "505-869-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALDON",
        "first_name": "CHARLENE",
        "middle_name": "NICOLETTE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NM",
            "license": "R42860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Stephanie Chewiwi, M.S.
• Jessica Chynoweth, M.D
• Kimberly L. Conklan
• Lois Coomer
• Annie Felicia Coots, RN
• Roseann Garcia
• Devin Kyle Giron, DDS
• Juan J Gutierrez, MSW,LISW
• Nancy M Halonen, R.N.
• Merel Hancock, RDH

• Hospice Registered Nurse in Isleta, NM
• Providers in Isleta, NM by specialty
• Hospice Registered Nurse in New Mexico

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