JUANITA MCKELLER (NPI# 1528411279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528411279 |
| Entity Type | Individual |
| Full Name | JUANITA MCKELLER |
| Practice Address |
1736 Spence Ave Se Albuquerque NM 87106-4208 |
| Practice Telephone | 9375452770 |
| Mailing Telephone | 9375452770 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1736 SPENCE AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4208 |
| 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 | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621006 | Monica Marie Montano | Specialist/Technologist, Other | 10909 Woodland Ave Ne, Albuquerque, NM 87112-1680 | 2019-10-19 |
| 1831514678 | Heather Marie Cordova | Specialist/Technologist, Other | 8080 Academy Rd Ne Suite C, Albuquerque, NM 87111 | 2014-03-04 |
| 1366680001 | Angela Annette Winters | Specialist/Technologist, Other | 4301 Canada Pl Nw, Albuquerque, NM 87114-5638 | 2009-02-03 |
| 1942469382 | Third Hand Surgical Assisting LLC | Specialist/Technologist, Other | 4420 Night Hawk Rd Nw, Albuquerque, NM 87114-4128 | 2008-06-02 |
| 1265056337 | Aw First Assisting | Specialist/Technologist, Other | 4301 Canada Pl Nw, Albuquerque, NM 87114-5638 | 2020-06-03 |
| 1891295630 | Alfredo Borges | Specialist/Technologist, Other | 4610 Jefferson Ln Ne, Albuquerque, NM 87109-2117 | 2018-02-19 |
| 1568905669 | Yaneisy Delgado Kindelan | Specialist/Technologist, Other | 13031 Central Ave Ne, Albuquerque, NM 87123-3029 | 2016-11-22 |
| 1811383136 | Q Surgical Assisting | Specialist/Technologist, Other | 7200 Montgomery Blvd Ne, Suite B9-121, Albuquerque, NM 87109-1510 | 2015-04-14 |
| 1154692580 | Maria Tambor | Specialist/Technologist, Other | 7200 Montgomery Blvd Ne, Suite B9121, Albuquerque, NM 87109-1510 | 2012-01-17 |
| 1306070941 | Michael Lee Rominger | Specialist/Technologist, Other | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2009-05-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.