Active NPI
Beatrice Dawn Vallo
- Community Health Worker
- Albuquerque, NM
National Provider Identifier
1932807732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- S3-154
- Practice address
- 1 Sagebrush St SW
Albuquerque, NM 87105-3942 - Phone
- (505) 554-5741
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Community Health Worker | 172V00000X | S3-154 | NM | Primary |
Addresses
Primary practice location
1 Sagebrush St SW
Albuquerque, NM 87105-3942
Mailing address
1 Sagebrush St SW
Albuquerque, NM 87105-3942
Phone (505) 554-5741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3-154 | NM | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1932807732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAGEBRUSH ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053942",
"telephone_number": "505-554-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAGEBRUSH ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053942",
"telephone_number": "505-554-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLO",
"first_name": "BEATRICE",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": "S3-154",
"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 Nov 27, 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.