Active NPI
Gloria Sevilla
- Registered Nurse
- Albuquerque, NM
National Provider Identifier
1942662887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-80099
- Practice address
- 1217 1St St NW
Albuquerque, NM 87102-1529 - Phone
- (505) 766-5197
- Fax
- (505) 766-6945
- NPI assigned
- Mar 21, 2016
- Last updated
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-80099 | NM | Primary |
Addresses
Primary practice location
1217 1St St NW
Albuquerque, NM 87102-1529
Mailing address
1217 First Street
Albuquerque, NM 87102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850368993 | Other | NM | JENNY METZLER |
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 |
|---|---|---|---|
| RN-80099 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1942662887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 FIRST STREET",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 1ST ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021529",
"telephone_number": "505-766-5197",
"fax_number": "505-766-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVILLA",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-21",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-80099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JENNY METZLER",
"identifier": "850368993",
"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 Jul 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.