MRS. CENEAN WALLS RAPHEMOT (NPI# 1104190271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104190271 |
| Entity Type | Individual |
| Full Name | MRS. CENEAN WALLS RAPHEMOT |
| Other Name | MS. CENEAN GRACE FANNIE WALLS |
| Credential | FPMHNP-BC |
| Practice Address |
1501 San Pedro Drive Se 377th Medical Group, Kirtland Air Force Base Albuquerque NM 87117 |
| Mailing Address |
2050a Second St Se 377th Medical Group, Kirtland Air Force Base Albuquerque NM 87117 |
| Practice Telephone | 5058463305 |
| Mailing Telephone | 5058463305 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2015-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 184446 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
17296 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 SAN PEDRO DRIVE SE 377TH MEDICAL GROUP, KIRTLAND AIR FORCE BASE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558326900 | John Henry Gelhot | Chiropractor | 1501 San Pedro Drive Se, Veterans Affairs Medical Center, Albuquerque, NM 87108-5154 | 2006-04-19 |
| 1982248019 | Amelia Roybal | Technician | 1501 San Pedro Drive Se, Albuquerque, NM 87108 | 2019-11-01 |
| 1407170426 | Angela Lisa Delgrande | Nurse Practitioner | 1501 San Pedro Drive Se, New Mexico Va Health Care System, Albuquerque, NM 87108 | 2010-03-19 |
| 1558594044 | Whitney L Conyers | Social Worker | 1501 San Pedro Drive Se, Albuquerque, NM 87108 | 2009-08-31 |
| 1972744480 | John Oliver Love | Social Worker | 1501 San Pedro Drive Se, Bhcl 116, Albuquerque, NM 87108-5154 | 2009-03-12 |
| 1104918911 | Hakim Nazrid Mohammad | Counselor | 1501 San Pedro Drive Se, Bhcl 116, Albuquerque, NM 87108 | 2006-09-29 |
| 1841390697 | Stuart D. Rockafellow | Pharmacist | 1501 San Pedro Drive Se, New Mexico Va Healthcare System, Albuquerque, NM 87108-5154 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614544 | Rowland Coyle | Military Health Care Provider | 701 Stephen Moody Rd, Albuquerque, NM 87117 | 2015-07-16 |
| 1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
| 1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
| 1871852210 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Kirtland Afb Building 20170, Albuquerque, NM 87117 | 2012-05-04 |
| 1528180502 | Gay C Davis | Speech-Language Pathologist | 25000 East Kirtland Afb, Wherry Es, Albuquerque, NM 87117 | 2007-04-03 |
| 1952493017 | Angela Marie Albrecht | Family Medicine | 377 Medical Group 2050 A Second St Se, Albuquerque, NM 87117 | 2006-09-28 |
| 1104930734 | Lesley Dale Pacheco | Social Worker | 2050 A 2nd Street, Kirtland Afb, NM 87117 | 2006-08-19 |
| 1053355735 | Joseph Agage Ouma | Family Medicine | 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 | 2006-06-15 |
| 1033762927 | Mary Mauldin | Registered Nurse | 1515 Eubank Blvd, Albuquerque, NM 87117 | 2019-07-19 |
| 1811540834 | Angie Leigh Avila-quigley | Registered Nurse | 1515 Eubank, Albuquerque, NM 87117 | 2019-07-18 |
| Find all providers in zip 87117 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524727 | Clarissa Juarez, LLC | Nurse Practitioner | 3900 Juan Tabo Blvd Ne Ste 4, Albuquerque, NM 87111-3978 | 2020-09-26 |
| 1053933721 | Canu Health, LLC | Nurse Practitioner | 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 | 2020-05-15 |
| 1245869130 | Indigo Psychiatric Services | Nurse Practitioner | 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 | 2020-04-03 |
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1790214344 | La Paloma Clinic LLC | Nurse Practitioner | 431 Gene Ave Nw, Albuquerque, NM 87107-5320 | 2017-06-07 |
| 1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
| 1437407301 | Jayanna Warwick | Nurse Practitioner | 2015 Wyoming Blvd Ne, Suite F, Albuquerque, NM 87112-2622 | 2012-08-26 |
| 1780939975 | Brenda Kaye Mckenna | Nurse Practitioner | Unm Department of Psychiatry and Behavioral Health Scie, 1 University of New Mexico, Albuquerque, NM 87131 | 2012-07-13 |
| 1194091603 | Awareness Integration LLC | Nurse Practitioner | 219 Sierra Dr Se, Unit A, Albuquerque, NM 87108-2714 | 2012-03-29 |
| 1003148156 | Maureen Kolomeir | Nurse Practitioner | 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109-3193 | 2010-01-30 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87117 |
Please comment or provide details below to improve the information on MRS. CENEAN WALLS RAPHEMOT.
| 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.