Organization Active NPI

Nanulia

Doing business as Passport Health New Mexico

  • Occupational Medicine Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1982825667
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
03-035189-008 Issued in NM
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

Updated by the provider on Sep 23, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.