MS. LESLEY JOAN MORTIMER (NPI# 1700877784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700877784 |
Entity Type | Individual |
Full Name | MS. LESLEY JOAN MORTIMER |
Credential | CNP |
Practice Address |
1217 1st St Nw Albuquerque NM 87125 |
Mailing Address |
4221 Saddlewood Trl Se Rio Rancho NM 87124-8205 |
Practice Telephone | 5057671118 |
Practice Fax Number | 5052423531 |
Mailing Telephone | 5058921310 |
Mailing Fax Number | 5058926843 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2008-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30001222 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN00081985 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R15653 | NM | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 45385 | 05 |
Street Address |
1217 1ST ST NW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87125 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245623784 | Bernice Varela | Social Worker | 1201 Third Street, Albuquerque, NM 87125 | 2015-03-09 |
1144553066 | Nevin Ray Marquez | Counselor | 12013rd St Nw, Albuquerque, NM 87125 | 2009-09-10 |
1699858019 | Diana D Noya | Internal Medicine | 2501 Buena Vista, Pmg Provider Resource Group, Albuquerque, NM 87125 | 2006-10-21 |
1265469191 | Andrea Demeter | Internal Medicine | Pmg Provider Resource Group, 2501 Buena Vista, Albuquerque, NM 87125 | 2006-06-27 |
1972539005 | Jeffrey G Szalay | Counselor | 1201 Third St. Nw, Albuquerque, NM 87125 | 2006-06-23 |
1487887782 | Carol D. Larue | Registered Nurse | 1201 3rd St, Albuquerque, NM 87125 | 2009-09-02 |
1770611832 | Terence C Chan | Hospitalist | 2501 Buena Vista, Pmg Provider Resource Group, Albuquerque, NM 87125 | 2007-03-01 |
1184639650 | Joo-hee G Park | Emergency Medicine | Pmg Provider Resource Group, 2501 Buena Vista, Albuquerque, NM 87125 | 2006-07-30 |
1679639694 | Albuquerque Health Care for The Homeless | Public Health or Welfare | Pob 25455, Albuquerque, NM 87125-0445 | 2006-12-28 |
1245260462 | Dannielle Suzette Reisner | Occupational Therapist | 2501 Buena Vista Se, Albuquerque, NM 87125-6666 | 2006-07-04 |
Find all providers in zip 87125 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87125 |
Please comment or provide details below to improve the information on MS. LESLEY JOAN MORTIMER.
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.