LOVELACE UNM REHABILITATION HOSPITAL LLC (NPI# 1104357003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104357003 |
| Entity Type | Organization |
| Organization Name | LOVELACE UNM REHABILITATION HOSPITAL LLC |
| Other Organization Name | LOVELACE UNM OUTPATIENT REHABILITATION AT JEMEZ PUEBLO |
| Practice Address |
129 A Canal Street Jemez Pueblo NM 87024 |
| Mailing Address |
1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 |
| Practice Telephone | 5758349168 |
| Practice Fax Number | 5758340238 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | STEPHEN C PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARDENTH HEALTH PARTNERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Lovelace UNM Outpatient Rehabilitation at Jemez Pueblo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103735 | Lovelace Unm Rehabilitation Hospital LLC | Physical Therapist | 4250 Coors Blvd Sw Ste C, Albuquerque, NM 87121-5500 | 2018-02-07 |
| 1861923864 | Lovelace Unm Rehabilitation Hospital LLC | Physical Therapist | 1692b Suite 202 Hospital Drive, Santa Fe, NM 87505 | 2017-03-22 |
| 1700325677 | Lovelace Unm Rehabilitation Hospital LLC | Clinic/Center | 505 Elm St Ne, Albuquerque, NM 87102 | 2017-02-13 |
| Street Address |
129 A CANAL STREET |
| City | JEMEZ PUEBLO |
| State | NM |
| Zip Code | 87024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786565 | Alana Chinana | Technician, Other | 174 Good Spirits Rd., Jemez Pueblo, NM 87024 | 2016-08-28 |
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1750615506 | Angela Xaviera Torres | Dentist | 110 Sheep Springs Rd, Jemez Pueblo, NM 87024 | 2009-09-28 |
| 1629218631 | Carol Ann Vigil | Counselor | 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 | 2009-03-03 |
| 1821233644 | Debra Ann Benalli | Counselor | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-08 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1780727735 | Marietta Montoya | Contractor | 129 Canal Street, Jemez Pueblo, NM 87024 | 2007-02-15 |
| 1629116611 | Deyvonna Allison Gachupin | Pharmacy Technician | 110 Sheepsprings Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1801934864 | Vonda J Baca | Registered Nurse | 110 Sheepsprings Way St, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1245378330 | Brenda Barr | Registered Nurse | 110 Sheep Springs Way Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| Find all providers in zip 87024 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009829 | Katlyn Ann Ferguson | Speech-Language Pathologist | 4316 Sabana Loop Se Apt D, Rio Rancho, NM 87124-1422 | 2020-10-05 |
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1164035705 | Deanna Mari Cordova | Speech-Language Pathologist | 1517 S Main Ave, Portales, NM 88130-6928 | 2020-08-24 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1508476508 | Betty Joanne Hauser | Speech-Language Pathologist | 3401 E 30th St Ste A, Farmington, NM 87402-8805 | 2020-08-04 |
| 1477176758 | New Mexico Speech and Swallowing Services, LLC | Speech-Language Pathologist | 400 E College Blvd Ste E, Roswell, NM 88201-7570 | 2020-05-21 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1124653191 | Megan Mcnutt | Speech-Language Pathologist | 18 Copper Ridge Dr, Silver City, NM 88061-8629 | 2020-03-10 |
| 1104450139 | Jennifer Edwards | Speech-Language Pathologist | 700 W Stevens St, Carlsbad, NM 88220-4958 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | JEMEZ PUEBLO |
| Zip Code | 87024 |
Please comment or provide details below to improve the information on LOVELACE UNM REHABILITATION HOSPITAL LLC.
| 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.