THERESA A WEIDEMANN (NPI# 1154986040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154986040 |
| Entity Type | Individual |
| Full Name | THERESA A WEIDEMANN |
| Credential | FNP-BC |
| Practice Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5052723120 |
| Practice Fax Number | 5052728060 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP-57254 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6027 Ursa Ave Nw, Albuquerque, NM 871143510 | 5052806052 | |
| 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106 | 5052723120 | 5052728060 |
| Street Address |
933 BRADBURY DR SE STE 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252606 | Catherine Obojski | Nurse Anesthetist, Certified Registered | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2005-06-01 |
| 1639770639 | Phillip Adam Mora Jr. | Case Manager/Care Coordinator | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-11-05 |
| 1699380642 | Sarah Heredia | Registered Nurse | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-09-15 |
| 1457969586 | Ugur Barut | Registered Nurse | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-07-15 |
| 1104451285 | Brianna Newberry | Case Manager/Care Coordinator | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-03-09 |
| 1639724255 | Ashton Mckinney | Nurse Practitioner | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2019-08-09 |
| 1215439062 | Sarah Elizabeth Davis | Nurse Practitioner | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2018-03-07 |
| 1912438862 | Emily Ball | Emergency Medicine | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2017-03-22 |
| 1629420161 | Jennifer Gonzales | Social Worker | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2016-07-08 |
| 1386099646 | Miranda A Aragon | Family Medicine | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2016-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960153 | Renea M Reano | Nurse Practitioner | 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 | 2020-10-23 |
| 1225552094 | Sacheen Diahn Naddy | Nurse Practitioner | 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 | 2017-08-02 |
| 1689040461 | Elizabeth Rodgers | Nurse Practitioner | 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 | 2015-08-17 |
| 1245393032 | Bernadette Engler | Nurse Practitioner | 4308 Carlisle Blvd Ne Ste 210, Albuquerque, NM 87107-4849 | 2006-12-19 |
| 1255304176 | Roger Owen Blevins | Nurse Practitioner | Msc 10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-02-10 |
| 1134127079 | Carolyn Montoya | Nurse Practitioner | College of Nursing Msc O9 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2005-07-13 |
| 1912518770 | Megan Tess Baker | Nurse Practitioner | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2020-08-13 |
| 1972111433 | Kimberly A. Hart | Nurse Practitioner | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2020-07-21 |
| 1770101354 | Cynthia C Johnson | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-07-09 |
| 1730705286 | Madison Frances Lutz | Nurse Practitioner | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2020-06-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on THERESA A WEIDEMANN.
| 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.