UNM DEVELOPMENTAL CARE PROGRAM (NPI# 1134260904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134260904 |
Entity Type | Organization |
Organization Name | UNM DEVELOPMENTAL CARE PROGRAM |
Practice Address |
Msc10 5590 1 University of New Mexico Albuquerque NM 87131-0001 |
Practice Telephone | 5052723946 |
Practice Fax Number | 5059254089 |
Mailing Telephone | 5052723946 |
Mailing Fax Number | 5059254089 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. NANCIE FURGANG (PROGRAM OPERATIONS DIRECTOR) |
Authorized Official Telephone | 5059254080 |
Authorized Official Credential | MA, OTRL |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
6005 | NM | Ambulatory Health Care Facilities |
X | 282NC2000X |
General Acute Care Hospital Specialization: Children |
6005 | NM | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | Z4226 | 05 |
Street Address |
MSC10 5590 1 UNIVERSITY OF NEW MEXICO |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87131-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063808384 | Ashley Davis | Student in an Organized Health Care Education/Training Program | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-13 |
1225422314 | Chelsea Jean Sanchez | Pediatrics | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-03-26 |
1275876559 | Justin Joseph Sommer | Pediatrics | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-04 |
1548502479 | Adrienne Marie Rosa | Student in an Organized Health Care Education/Training Program | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-03-18 |
1659665610 | Anita M Morales | Social Worker | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-06-07 |
1467743260 | Yasir Pervaiz Khan | Student in an Organized Health Care Education/Training Program | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-04-27 |
1306075395 | Jorge Francisco Ganem | Pediatrics | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-07-10 |
1326276320 | Tamra L Lemley | Pediatrics | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-06-29 |
1952538753 | Byron D Knowles | Pediatrics | Msc10 5590, Albuquerque, NM 87131-0001 | 2009-06-18 |
1972776698 | Siobhan Wescott | Student in an Organized Health Care Education/Training Program | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
Find all providers in zip 87131 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639496631 | 3h Integrated, LLC | Clinic/Center | 8320 2nd St Nw, Albuquerque, NM 87114-1037 | 2010-04-29 |
1851614432 | Unm Medical Group Inc | Clinic/Center | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2010-03-10 |
1689703191 | Liferoots, Inc | Clinic/Center | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790818714 | Ramah Navajo School Board, Inc. | Clinic/Center | Bia Rt. 125, Pine Hill School Campus, Pinehill, NM 87357-0010 | 2007-03-13 |
1376695387 | Taos County Arc | Clinic/Center | 1030 Salazar Rd, Taos, NM 87571 | 2007-01-18 |
1124101365 | Enmrsh, Inc. | Clinic/Center | 2700 E 7th St, Clovis, NM 88101-1708 | 2006-10-23 |
1326195769 | Pms Dba Roundtree Childrens' Development Services | Clinic/Center | 608 Reilly Ave, Farmington, NM 87499 | 2007-01-05 |
City | ALBUQUERQUE |
Zip Code | 87131 |
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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.