FAY PEPIN (NPI# 1588635478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588635478 |
| Entity Type | Individual |
| Full Name | FAY PEPIN |
| Credential | PA |
| Practice Address |
4701 Montgomery Blvd Ne Albuquerque NM 87109-1219 |
| Practice Telephone | 5057276900 |
| Practice Fax Number | 5057276913 |
| Mailing Telephone | 5057276200 |
| Mailing Fax Number | 5057276913 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2004-0014 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9110347 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4701 MONTGOMERY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245213750 | Sheridan Children Healthcare Services of New Mexico Inc | Pediatrics | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2005-11-29 |
| 1831705094 | Rachel Leanne Garcia | Midwife | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-09-22 |
| 1184236523 | Chanae D Esquibel | Physical Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-08-18 |
| 1841816170 | Chitose Hanert | Occupational Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-06-23 |
| 1295350098 | Kerry Elizabeth Trautwein | Occupational Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-06-08 |
| 1669007332 | Rachel Henderson | Registered Nurse | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2020-03-03 |
| 1578106829 | Nicole Lerma Hadley | Physical Therapy Assistant | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2019-10-18 |
| 1902463524 | David Bowers | Physical Therapy Assistant | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2019-05-20 |
| 1376109181 | Kanna Shepherd | Occupational Therapist | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2019-05-16 |
| 1295220457 | Rebecca Echols | Nurse Practitioner | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
| 1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
| 1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1982818860 | Kristen Marron Bushnell | Physician Assistant | Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2007-05-09 |
| 1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
| 1861444143 | Beverly Heck Bierbach | Physician Assistant | Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 | 2006-05-16 |
| 1881654218 | Paul Lee Armstrong | Physician Assistant | 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 | 2006-03-28 |
| 1477535698 | Daryl Edson Smith | Physician Assistant | 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 | 2005-11-15 |
| 1366431355 | Michelle M Ruthmann | Physician Assistant | 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 | 2005-10-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on FAY PEPIN.
| 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.