SHIRLENA T WATERS


Address: 1217 1st St Nw, Albuquerque, NM 87102-1529
Phone: 5057671111

SHIRLENA T WATERS (NPI# 1548587991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548587991
Entity Type Individual
Full Name SHIRLENA T WATERS
Other Name SHIRLENA D TERLAJE
Practice Address 1217 1st St Nw
Albuquerque
NM 87102-1529
Mailing Address Po Box 25445
Albuquerque
NM 87125-0445
Practice Telephone 5057671111
Mailing Telephone 5057671111
Enumeration Date 2010-04-26
Last Update Date 2014-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DD3426 NM Dental Providers

Office Location

Street Address 1217 1ST ST NW
City ALBUQUERQUE
State NM
Zip Code 87102-1529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831185339 Janet Douglas Nurse Practitioner 1217 1st St Nw, Albuquerque, NM 87102-1529 2005-09-21
1831799758 Mariah Destini-rae Lujan Case Manager/Care Coordinator 1217 1st St Nw, Albuquerque, NM 87102-1529 2020-10-29
1720606189 Kathryn Fleddermann Case Manager/Care Coordinator 1217 1st St Nw, Albuquerque, NM 87102-1529 2020-07-10
1912523390 Alyssa Lodge Case Manager/Care Coordinator 1217 1st St Nw, Albuquerque, NM 87102-1529 2020-06-22
1669010146 Larry Lovato Pharmacist 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-12-16
1700421922 Marcus Nells Case Manager/Care Coordinator 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-11-12
1437794658 Julie King Case Manager/Care Coordinator 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-11-12
1255986006 Gabriel Ruiz-montes Case Manager/Care Coordinator 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-08-08
1891347829 Jennifer Lee Glass Nurse Practitioner 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-07-10
1801454004 Barbara Lynn Jensen Counselor 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-06-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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NPI Name Taxonomy Address Enumeration
1457959934 Comfortable Dentistry 4u - Cottonwood, LLC Dentist 3613 Nm 528 Nw Ste D, Albuquerque, NM 87114-8918 2020-10-15
1932729506 Brenda Concepcion Acosta Dentist Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 2020-04-23
1942833199 Salud Dental Group Albuquerque Dentist 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 2020-02-17
1285112748 Wesley Ross Hanchett Dentist 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 2018-08-06
1679050942 Comfortable Dentistry 4u LLC Dentist 9204 Menaul Blvd Ne Ste 3, Albuquerque, NM 87112-2201 2018-07-19
1649756206 Brandon Wade Terhune Dentist 7520 Montgomery Blvd Ne Bldg E12, Albuquerque, NM 87109-1586 2018-07-17
1417443276 Kyle Thomas Lantz Dentist 2800-a Coors Blvd Nw, Albuquerque, NM 87120 2018-07-05
1669967063 Gabriele E Mccomas Dentist 5000 Menaul Boulevard, Suite B, Albuquerque, NM 87110-3046 2018-06-27
1699266106 Michael Thomas Lauer Dentist 120 98th St Sw Suite C-3, Albuquerque, NM 87121 2018-05-21
1154838266 Dr Barney W Carter Dmd PC Dentist 3900 Eubank Blvd Ne Ste 19, Albuquerque, NM 87111-3427 2018-01-10
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Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

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.

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