SUSAN ROBERTS (NPI# 1437158896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437158896 |
| Entity Type | Individual |
| Full Name | SUSAN ROBERTS |
| Credential | D.O. |
| Practice Address |
13701 Encantado Rd., Ne Albuquerque NM 87123 |
| Mailing Address |
Po Box 26028 Clinician Services Albuquerque NM 87125-6028 |
| Practice Telephone | 5052378700 |
| Practice Fax Number | 5052378703 |
| Mailing Telephone | 5052378700 |
| Mailing Fax Number | 5052378703 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A-1723-13 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | K2574 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00002166 | 05 | |
| TX | 153862101 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 S Gregg St, Big Spring, TX 797205531 | 4322675531 | |
| 12405 Himalayan Way Ne, Albuquerque, NM 87111 | 5059990121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588952923 | Susan Roberts | Behavioral Analyst | 68 Stevens Ave, Old Bridge, NJ 08857-2247 | 2011-07-19 |
| 1043511637 | Susan Lloyd Roberts | Occupational Therapist | 3527 Utopia Pkwy, Flushing, NY 11358-2309 | 2010-11-12 |
| 1497070056 | Susan M Roberts | Pharmacist | 2933 E 56th Ct, Tulsa, OK 74105-7431 | 2010-04-06 |
| 1659548386 | Susan C. Roberts | Social Worker | 1919 7th St, Boulder, CO 80302 | 2008-05-12 |
| 1326235730 | Susan K Roberts | Registered Nurse | N9520 Black River Ln, Bessemer, MI 49911-9781 | 2007-09-29 |
| 1639384084 | Susan Sammon Roberts | Counselor | 211 Woodland Blvd, Boerne, TX 78006-8986 | 2007-05-11 |
| 1194892984 | Susan E Roberts | Audiologist | 4525 Central School Rd, Saint Charles, MO 63304-7113 | 2006-11-29 |
| 1982776720 | Susan A. Roberts | Internal Medicine | 1500 E Woodrow Wilson Ave # 11, Jackson, MS 39216-5116 | 2006-11-15 |
| 1114023736 | Susan Merlene Roberts | Dentist | 6650 N Beach, #118, Ft Worth, TX 76137 | 2006-09-15 |
| 1912921610 | Susan Hope Roberts | Counselor | 1140 Mayberry Drive, Tahlequah, OK 74464-4603 | 2006-07-26 |
| Street Address |
13701 ENCANTADO RD., NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87123 |
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| 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.