MANUELA GALLEGOS (NPI# 1548457997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548457997 |
| Entity Type | Individual |
| Full Name | MANUELA GALLEGOS |
| Credential | PAC |
| Practice Address |
4100 High Resort Blvd Se Albuquerque NM 87124-5901 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5054628809 |
| Practice Fax Number | 5054628468 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA20070025 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 243873 | 05 |
| Street Address |
4100 HIGH RESORT BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87124-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801175559 | Chandrahasa Annem | Internal Medicine | 4100 High Resort Blvd Se, Albuquerque, NM 87124-5901 | 2011-08-12 |
| 1508060351 | Corinn Melissa Sadler | Internal Medicine | 4100 High Resort Blvd Se, Albuquerque, NM 87124 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| 1457686511 | Bayle R. Curtis | Physician Assistant | 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 | 2009-10-07 |
| 1215173919 | Amber Dawn Hansen | Physician Assistant | 1100 Cenrral Ave Se, Albuquerque, NM 87106 | 2008-12-30 |
| 1508028606 | Angela Genette Baumeister | Physician Assistant | 707 13th St Nw, Albuquerque, NM 87102-1841 | 2008-06-30 |
| 1528230117 | Laura Wylie | Physician Assistant | 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 | 2008-03-24 |
| 1457406951 | Deneen Tomayko | Physician Assistant | 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 | 2007-01-24 |
| 1083793665 | Karen Kay Nester | Physician Assistant | 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on MANUELA GALLEGOS.
| 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.