JULIANE NICHOLE BOHAN (NPI# 1568478279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568478279 |
| Entity Type | Individual |
| Full Name | JULIANE NICHOLE BOHAN |
| Other Name | DR. JULIANE NICHOLE BOHAN |
| Credential | MD |
| Practice Address |
2600 Yale Blvd Se Albuquerque NM 87106-4217 |
| Practice Telephone | 5059947999 |
| Practice Fax Number | 5052430366 |
| Mailing Telephone | 5059947999 |
| Mailing Fax Number | 5052430366 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
NM 86-182 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2600 YALE BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142048 | Sarah Garcia | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2020-04-02 |
| 1174080154 | Kenneth Ryan | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2019-02-26 |
| 1205392966 | Ericka Campa | Nurse's Aide | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2019-02-18 |
| 1184189441 | Joy Hernandez | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2019-01-31 |
| 1114499688 | Nayeli Castro | Nurse's Aide | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-21 |
| 1124590740 | Sarah Jaimie Romero | Social Worker | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-20 |
| 1639640824 | Alisa Ann Damholt | Social Worker | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-16 |
| 1699246363 | Norma Patricia Fernandez | Psychologist | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-12-06 |
| 1588132807 | Brandon J. Holmes | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-11-05 |
| 1366924235 | Nicolle E Bercier | Nurse's Aide | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2018-09-06 |
| 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 | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418144 | Pivot LLC | Family Medicine | 1620 Central Ave Se, Albuquerque, NM 87106-4411 | 2019-10-16 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
| 1043713415 | Southwest Recovery and Wellness LLC | Family Medicine | 3874 Masthead St Ne, Albuquerque, NM 87109-4479 | 2018-03-13 |
| 1205246667 | Recovery Services of Southern New Mexico LLC | Family Medicine | 1235 Wyoming Blvd Ne, Albuquerque, NM 87112-5044 | 2014-05-06 |
| 1124374004 | Julianne Austin | Family Medicine | 4201 Central Ave Nw, Suite K2, Albuquerque, NM 87105-1630 | 2012-07-30 |
| 1730470113 | Evan D Baldwin | Family Medicine | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2011-04-20 |
| 1184952061 | Joan Cecile Voute | Family Medicine | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639690050 | Ideal Option, Pllc | Family Medicine | 2019 Galisteo St Ste H1, Santa Fe, NM 87505-2106 | 2017-07-06 |
| 1306285820 | Alt Recovery Group LLC | Family Medicine | 1141 Mall Dr, Suite E, Las Cruces, NM 88011-8194 | 2013-06-18 |
| 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.