CANDACE POPPAS LEAS (NPI# 1194748491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194748491 |
| Entity Type | Individual |
| Full Name | CANDACE POPPAS LEAS |
| Credential | CNP |
| Practice Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052723120 |
| Practice Fax Number | 5052728060 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R33049 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | A2808 | 05 |
| Street Address |
933 BRADBURY DR SE SUITE 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604854 | Jess Graham | Radiology | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2005-10-24 |
| 1821603713 | Mushtaq Syed | Community Health Worker | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2020-09-09 |
| 1609363811 | Storm A Dorrough | Student in an Organized Health Care Education/Training Program | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2018-04-13 |
| 1851849996 | Mushobwe Miles | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-09-19 |
| 1831647916 | Darcy Marie Murphy | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-09-16 |
| 1124470307 | Arthur Lopez | Psychologist | 933 Bradbury Dr Se, Pfs Suite 1120, Albuquerque, NM 87106-4374 | 2016-07-12 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1720446545 | Tanya L Montoya | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-02-08 |
| 1396119061 | Alethea Re | Nurse's Aide | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-11-18 |
| 1437521325 | Violeta Duran | Registered Nurse | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536545 | Eglis Jane Pereyra | Nurse Practitioner | 5720 Lost Dutchman St Ne, Albuquerque, NM 87111-5903 | 2020-10-19 |
| 1467061895 | Bruna Brum Wynne | Nurse Practitioner | 933 Bradbury Dr Se Ste 2204, Albuquerque, NM 87106-4375 | 2020-07-31 |
| 1811522238 | Oso Medical Group, LLC | Nurse Practitioner | 2441 Menaul Blvd Ne, Albuquerque, NM 87107-1823 | 2020-03-05 |
| 1417595562 | Brandy Renee Chavez | Nurse Practitioner | 12205 Palm Springs Ave Ne, Albuquerque, NM 87111-5421 | 2019-12-18 |
| 1598307530 | Audrey R Clark | Nurse Practitioner | 7936 Brady Rd Nw, Albuquerque, NM 87120-1246 | 2019-10-10 |
| 1376058099 | Michael M Archuleta | Nurse Practitioner | 7912 Teaberry Rd Nw, Albuquerque, NM 87120-5275 | 2017-12-04 |
| 1811349194 | Tiffany Nicole Grant | Nurse Practitioner | 1501 San Pedro Dr Se Ste 111, Albuquerque, NM 87108-5180 | 2016-07-11 |
| 1093115271 | Maria De La Luz Nicole Webb | Nurse Practitioner | 2211 Lomas Blvd. Ne 2nd Floor, University of New Mexico Surgical Specialties Clinic, Albuquerque, NM 87106 | 2014-08-26 |
| 1891123485 | William Finley | Nurse Practitioner | Unmh Doim Cardiology Division, Msc 10 5550, Albuquerque, NM 87131-0001 | 2013-10-17 |
| 1780979278 | Maria Retunski | Nurse Practitioner | 10600 Royal Birkdale Ne, Unm Hospital, Department of Neurosurgery, Albuquerque, NM 87111-6571 | 2011-06-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on CANDACE POPPAS LEAS.
| 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.