NIKI MANOLE NINOPOULOS (NPI# 1134604978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134604978 |
| Entity Type | Individual |
| Full Name | NIKI MANOLE NINOPOULOS |
| Credential | PA-C |
| Practice Address |
3901 Carlisle Blvd Ne Albuquerque NM 87107-4503 |
| Mailing Address |
4501 Larchmont Dr Ne Albuquerque NM 87111-3042 |
| Practice Telephone | 5052546100 |
| Practice Fax Number | 5055465322 |
| Mailing Telephone | 5053156932 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | PA2018-0074 | NM | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
NM | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2018-0074 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407889074 | Heather E Dountas | Physician Assistant | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107 | 2006-07-08 |
| 1043734411 | Laura Kris Mccleskey | Nurse Practitioner | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2017-07-27 |
| 1740431311 | Beverly R Firth | Clinical Nurse Specialist | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2008-10-01 |
| 1902091457 | Sneha Surendra Sharma | Pharmacist | 3901 Carlisle Blvd Ne, Lovelace Carlisle Pharmacy, Albuquerque, NM 87107 | 2007-09-07 |
| 1487781803 | Farnoush Falakrou | Pharmacist | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2007-02-27 |
| 1083798128 | Lovelace Health Systems Inc | Pharmacy | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-10-25 |
| 1487664298 | Lovelace Healthcare Center-carlisle | Internal Medicine | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-08-08 |
| 1558384735 | Roderick Mcveety | Family Medicine | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-07-26 |
| 1114940822 | Gerhard Y Nyase | Family Medicine | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-07-25 |
| 1104851021 | Jerald T Loy | Physician Assistant | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| 1457686511 | Bayle R. Curtis | Physician Assistant | 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 | 2009-10-07 |
| 1215173919 | Amber Dawn Hansen | Physician Assistant | 1100 Cenrral Ave Se, Albuquerque, NM 87106 | 2008-12-30 |
| 1508028606 | Angela Genette Baumeister | Physician Assistant | 707 13th St Nw, Albuquerque, NM 87102-1841 | 2008-06-30 |
| 1528230117 | Laura Wylie | Physician Assistant | 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 | 2008-03-24 |
| 1457406951 | Deneen Tomayko | Physician Assistant | 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 | 2007-01-24 |
| 1083793665 | Karen Kay Nester | Physician Assistant | 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on NIKI MANOLE NINOPOULOS.
| 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.