SIERRA MARIETTE JANSEN (NPI# 1528414646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528414646 |
| Entity Type | Individual |
| Full Name | SIERRA MARIETTE JANSEN |
| Credential | M.D. |
| Practice Address |
2211 Lomas Blvd Ne Albuquerque NM 87106-2719 |
| Practice Telephone | 5052722111 |
| Mailing Telephone | 5419122058 |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 6437 | WI | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
RS2020-0512 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 537920001 | 6082636400 |
| Street Address |
2211 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902016 | Gloria Doherty | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2005-06-15 |
| 1427659127 | Letitia Tomaszewski | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-08 |
| 1467053116 | Luis Aaron Trillo | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-07 |
| 1215538095 | Rafael Alejandro Fernandez-mancha | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1144821950 | Jaylee Caruso | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1508467648 | Christine Hsu Teng | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1649871641 | Martin Jurado | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1912508284 | Joshua Marquez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1609477850 | Jessica Elena Larsen | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1619578879 | Kevin A Martinez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 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 | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1487879987 | Peter C. Jeppson | Obstetrics & Gynecology | 933 Bradbury Dr Se, Suiet 2222, Albuquerque, NM 87106-4374 | 2007-04-17 |
| 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.