Active NPI
Vaspro Inc
- Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1891784088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R18198
- Legal business name
- VASPRO INC
- Practice address
- 10400 Academy Rd NE
Suite 340
Albuquerque, NM 87111-1229 - Phone
- (505) 298-1558
- Fax
- (505) 298-7012
- NPI assigned
- Oct 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth G Abbott
- Title
- President / Ceo
- Phone
- (505) 298-1558
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R18198 | NM | Primary |
| Nurse Practitioner | 363L00000X | R25188 | NM | |
| Nurse Practitioner | 363L00000X | R19106 | NM | |
| Nurse Practitioner | 363L00000X | R31749 | NM | |
| Nurse Practitioner | 363L00000X | RN130480 | GA | |
| Nurse Practitioner | 363L00000X | RN086525 | AZ |
Addresses
Primary practice location
10400 Academy Rd NE
Suite 340
Albuquerque, NM 87111-1229
Mailing address
10400 Academy Rd NE
Suite 340
Albuquerque, NM 87111-1229
Phone (505) 298-1558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM017025 | Other | NM | BC/BS OF NM |
| 18828779 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
6509 W Frye Rd
Ste 12
Chandler, AZ 85226
Phone (480) 705-6200
4360 Chamblee Dunwoody Rd
Ste 540
Atlanta, GA 30341
Phone (770) 457-7644
8800 Horizon Blvd NE
Albuquerque, NM 87114
Phone (505) 823-1885
235 Elm St NE
Albuquerque, NM 87102
Phone (505) 767-6425
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Hatch, NM
- NPI 1962575209
-
- Diagnostic Ultrasound Physician
- Albuquerque, NM
- NPI 1457374720
-
- Acute Care Nurse Practitioner
- Albuquerque, NM
- NPI 1427166552
-
- Nurse Practitioner
- Marietta, GA
- NPI 1316957715
-
- Family Nurse Practitioner
- Palm Harbor, FL
- NPI 1922168277
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1023184850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891784088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 ACADEMY RD NE",
"address_2": "SUITE 340",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111229",
"telephone_number": "505-298-1558",
"fax_number": "505-298-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 ACADEMY RD NE",
"address_2": "SUITE 340",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111229",
"telephone_number": "505-298-1558",
"fax_number": "505-298-7012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASPRO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABBOTT",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "505-298-1558",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R18198",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R25188",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R19106",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R31749",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN130480",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN086525",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NM",
"identifier": "NM017025",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18828779",
"state": "NM"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.