MATEO R DURAN (NPI# 1053882795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053882795 |
| Entity Type | Individual |
| Full Name | MATEO R DURAN |
| Credential | CPSW |
| Practice Address |
10519 Trieste Ct Nw Albuquerque NM 87114-5187 |
| Practice Telephone | 5052612860 |
| Mailing Telephone | 5052612860 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 809 | NM | Other Service Providers |
| Street Address |
10519 TRIESTE CT NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891174140 | Osman Varela | Peer Specialist | 402 1/2 Harvard Dr Se, Albuquerque, NM 87106-3527 | 2015-05-20 |
| 1407456742 | Gabriela Gallegos | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-10-27 |
| 1306443148 | Andrea Michelle Vallejos | Peer Specialist | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2020-10-05 |
| 1033729652 | Stacy L Burleson | Peer Specialist | 3150 Carlisle Blvd Ne Ste 110, Albuquerque, NM 87110-1681 | 2020-08-07 |
| 1134738651 | Antonio N Johnson | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-07-30 |
| 1396363677 | Liliana Spurgeon | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-07-13 |
| 1801413026 | Christopher Padilla | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-07-03 |
| 1679196489 | Denise Lerouge | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-05-27 |
| 1942823125 | Dawn Green | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2020-05-22 |
| 1346869054 | Brandi Encinias | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-04-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on MATEO R DURAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.