Active NPI
Nicole Chamberlain
- Mechanotherapist
- Albuquerque, NM
National Provider Identifier
1982016945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 7736
- Practice address
- 1201 Eubank Blvd NE Ste 2
Albuquerque, NM 87112-5300 - Phone
- (505) 280-5944
- Fax
- (505) 298-7724
- NPI assigned
- May 27, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7736 | NM | Primary |
Addresses
Primary practice location
1201 Eubank Blvd NE Ste 2
Albuquerque, NM 87112-5300
Mailing address
4918 Arroyo Chamisa Rd NE
Albuquerque, NM 87111-3716
Phone (505) 280-5944
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 |
|---|---|---|---|
| 7736 | NM | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1982016945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4918 ARROYO CHAMISA RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113716",
"telephone_number": "505-280-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 EUBANK BLVD NE STE 2",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125300",
"telephone_number": "505-280-5944",
"fax_number": "505-298-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NM",
"license": "7736",
"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 Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.