INDIGO PSYCHIATRIC SERVICES


Address: 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119
Phone: 5056203541

INDIGO PSYCHIATRIC SERVICES (NPI# 1245869130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245869130
Entity Type Organization
Organization Name INDIGO PSYCHIATRIC SERVICES
Practice Address 609 Gold Ave Sw Ste 1-c
Albuquerque
NM 87102-3119
Practice Telephone 5056203541
Mailing Telephone 5056203541
Enumeration Date 2020-04-03
Last Update Date 2020-04-03
Authorized Official Name NANCY ROOPE (OWNER)
Authorized Official Telephone 5056203541
Authorized Official Credential NURSE PRACTITION
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Indigo Psychiatric Services Doing Business As Name - Organization

Office Location

Street Address 609 GOLD AVE SW STE 1-C
City ALBUQUERQUE
State NM
Zip Code 87102-3119

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1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
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1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1053933721 Canu Health, LLC Nurse Practitioner 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 2020-05-15
1194388496 Anne E. Galanis Nurse Practitioner 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 2019-04-22
1790214344 La Paloma Clinic LLC Nurse Practitioner 431 Gene Ave Nw, Albuquerque, NM 87107-5320 2017-06-07
1437493020 Sarah Michael Workman Nurse Practitioner 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 2012-11-20
1437407301 Jayanna Warwick Nurse Practitioner 2015 Wyoming Blvd Ne, Suite F, Albuquerque, NM 87112-2622 2012-08-26
1780939975 Brenda Kaye Mckenna Nurse Practitioner Unm Department of Psychiatry and Behavioral Health Scie, 1 University of New Mexico, Albuquerque, NM 87131 2012-07-13
1194091603 Awareness Integration LLC Nurse Practitioner 219 Sierra Dr Se, Unit A, Albuquerque, NM 87108-2714 2012-03-29
1003148156 Maureen Kolomeir Nurse Practitioner 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109-3193 2010-01-30
1780892059 Jennifer Stewart Schneider Nurse Practitioner 1 University of Nm, Msc09-5030, Albuquerque, NM 87131 2007-05-19
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Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

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.

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