Jaileen J Hilliard, NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

86520 Issued in NM

Practice address

200 Oak St NE Ste 7
Albuquerque, NM 87106-4353

Phone

(505) 420-6979

Fax

(949) 798-4360

NPI assigned

Mar 7, 2024

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

State licenses

Practice roles

Locations

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

• Reform Abq

  • Medical Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1629803192
  NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1831957588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ST NE STE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064353",
            "telephone_number": "505-420-6979",
            "fax_number": "949-798-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST NE STE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064353",
            "telephone_number": "505-420-6979",
            "fax_number": "949-798-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "JAILEEN",
        "middle_name": "J",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "86520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Stewart Hill, MSPT
• Marina Hillard, SW
• Lynn A Hillas, LISW
• Tyler James Hille, DPM
• Melissa Hillenbrand
• Adam Hillman
• Zachary L Hillman
• Hillside Community Church
• Leslie Hilo
• Nancy Petersen Hilton, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.