Organization Active NPI

Vaspro Inc

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1891784088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R18198 Issued in NM
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X R18198 NM Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X R25188 NM
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X R19106 NM
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X R31749 NM
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X RN130480 GA
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
NM017025OtherNMBC/BS OF NM
18828779MedicaidNM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.