BERNADETTE PEREA-ZAMORA (NPI# 1255843710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255843710 |
| Entity Type | Individual |
| Full Name | BERNADETTE PEREA-ZAMORA |
| Other Name | MRS. BERNADETTE M PEREA-ZAMORA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3619 |
| Practice Telephone | 5055083458 |
| Practice Fax Number | 5055083458 |
| Mailing Telephone | 5055507362 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R46548 | NM | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-03412 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEW MEXICO BOARD OF NURSING | CNP-03412 | 01 | |
| NEW MEXICO BOARD OF NURSING | R46548 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Dr. Martin Luther King Jr. Ave, Albuquerque, Nm 87102, NM 871028710 | 5055083458 | 5055083458 |
| Street Address |
601 DR MARTIN LUTHER KING JR AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261611 | Gilbert M Martinez | Nuclear Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2005-10-31 |
| 1114533239 | Mattie Firlit | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-09-23 |
| 1184263303 | Seth Tyler Gambone | Nurse Anesthetist, Certified Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-01-06 |
| 1518527530 | Shannon Erickson | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-06-20 |
| 1396218095 | Caroline Jane Spencer | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-01-04 |
| 1023596491 | Jason Michael Rotonda | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 | 2018-07-30 |
| 1275010985 | Main Street Anesthesia of New Mexico, LLC | Anesthesiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-07-25 |
| 1740779560 | Paris Arlette Cook | Pharmacist | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-05-07 |
| 1386150076 | Raiza Stephanie Mena | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-12-18 |
| 1093237810 | Billy Jay Taylor | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| 1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
| 1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
| 1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
| 1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on BERNADETTE PEREA-ZAMORA.
| 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.