NPIMap

Organization Active NPI

Center for Prenatal Development

  • Maternal & Fetal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1891852240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
96-270 Issued in NM
Legal business name
CENTER FOR PRENATAL DEVELOPMENT
Practice address
101 Hospital Loop NE
Ste. 106
Albuquerque, NM 87109-2129
Phone
(505) 883-5657
Fax
(505) 883-5322
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Stephanie Hedstrom, MDNPI 1740356393
Title
Owner
Phone
(505) 883-5657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X 96-270 NM Primary

Addresses

Primary practice location

101 Hospital Loop NE
Ste. 106
Albuquerque, NM 87109-2129

Mailing address

101 Hospital Loop NE
Ste. 106
Albuquerque, NM 87109-2129
Phone (505) 883-5657

Other identifiers 1

IdentifierTypeStateIssuer
96-270OtherNMLICENSE

National Provider Directory

National Provider Directory

Locations

4010 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 254-6100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891852240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE",
            "address_2": "STE. 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092129",
            "telephone_number": "505-883-5657",
            "fax_number": "505-883-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE",
            "address_2": "STE. 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092129",
            "telephone_number": "505-883-5657",
            "fax_number": "505-883-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PRENATAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDSTROM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-883-5657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NM",
            "license": "96-270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "96-270",
            "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.