PIVOT LLC (NPI# 1609418144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609418144 |
| Entity Type | Organization |
| Organization Name | PIVOT LLC |
| Other Organization Name | PIVOT RECOVERY RESOURCES LLC |
| Practice Address |
1620 Central Ave Se Albuquerque NM 87106-4411 |
| Practice Telephone | 5852029180 |
| Mailing Telephone | 5852029180 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | AMY M HUDAK (ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 5055510220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pivot Recovery Resources LLC | Doing Business As Name - Organization |
| Street Address |
1620 CENTRAL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4411 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1568478279 | Juliane Nichole Bohan | Family Medicine | 2600 Yale Blvd Se, Albuquerque, NM 87106-4217 | 2006-08-01 |
| 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 |
Please comment or provide details below to improve the information on PIVOT LLC.
| 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.