Active NPI
Nanulia
Doing business as Passport Health New Mexico
- Occupational Medicine Clinic/Center
- Albuquerque, NM
National Provider Identifier
1982825667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- 03-035189-008
- Legal business name
- NANULIA
- Doing business as
- Passport Health New Mexico
- Practice address
- 1717 Louisiana Blvd NE
Suite 212
Albuquerque, NM 87110-7001 - Phone
- (505) 881-8785
- Fax
- (505) 872-8785
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nanci Baldwin, RN
- Title
- Co-Owner
- Phone
- (505) 881-8785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | 03-035189-008 | NM | Primary |
Addresses
Primary practice location
1717 Louisiana Blvd NE
Suite 212
Albuquerque, NM 87110-7001
Mailing address
1717 Louisiana Blvd NE
Suite 212
Albuquerque, NM 87110-4058
Phone (505) 881-8785
Other names 1
- Passport Health New Mexico
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Occupational Medicine Physician
- Albuquerque, NM
- NPI 1245639756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1982825667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 LOUISIANA BLVD NE",
"address_2": "SUITE 212",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104058",
"telephone_number": "505-881-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 LOUISIANA BLVD NE",
"address_2": "SUITE 212",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107001",
"telephone_number": "505-881-8785",
"fax_number": "505-872-8785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANULIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "NANCI",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "505-881-8785",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "NM",
"license": "03-035189-008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health New Mexico",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.