Organization Active NPI

Full Spectrum Gaht

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1912690645
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FULL SPECTRUM GAHT
Practice address
1001 Richmond Dr SE
Albuquerque, NM 87106-2336
Phone
(505) 269-6938
Fax
(505) 485-0729
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Mary Colleran, MDNPI 1659386118
Title
Ceo
Phone
(505) 269-6938

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1001 Richmond Dr SE
Albuquerque, NM 87106-2336

Mailing address

1001 Richmond Dr SE
Albuquerque, NM 87106-2336
Phone (505) 269-6938

Other practice location 1

100 Sun Ave NE
Albuquerque, NM 87109-4659
Phone (150) 526-9693

National Provider Directory

National Provider Directory

Locations

100 Sun Ave NE
Albuquerque, NM 87109
Phone (505) 835-6735

Practitioners & affiliated clinicians

Practitioners 1

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": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1912690645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 RICHMOND DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062336",
            "telephone_number": "505-269-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RICHMOND DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062336",
            "telephone_number": "505-269-6938",
            "fax_number": "505-485-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Sun Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094659",
            "country_code": "US",
            "telephone_number": "150-526-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL SPECTRUM GAHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-269-6938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 30, 2023; 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.