AMANDA VIOLET GRIPPEN GODDARD (NPI# 1710399654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710399654 |
| Entity Type | Individual |
| Full Name | AMANDA VIOLET GRIPPEN GODDARD |
| Credential | D.O. |
| Practice Address |
7001 Signal Ave Ne Albuquerque NM 87113-2453 |
| Mailing Address |
Po Box 603725 Charlotte NC 28260-3725 |
| Practice Telephone | 5058262735 |
| Practice Fax Number | 5058562749 |
| Mailing Telephone | 8285752625 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A233920 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 38337207 | 05 | |
| NM | MEDICARE PTAN | 1D3719 | 01 |
| NM | MEDICARE PTAN | 1D3721 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1651 Galisteo St Ste 8, Santa Fe, NM 875054752 | 5058209870 | 5059831265 |
| Street Address |
7001 SIGNAL AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922147958 | Shanze Wang | Allergy & Immunology | 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 | 2007-02-06 |
| 1477707610 | Michael V Calvin | Physician Assistant | 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669612107 | Alvi Family Inc | Allergy & Immunology | 2616 Mesilla St Ne Ste 1, Albuquerque, NM 87110-3659 | 2009-02-24 |
| 1437316817 | Osman Caner Dokmeci | Allergy & Immunology | 8304 R C Gorman Ave Ne, Albuquerque, NM 87122-2718 | 2008-05-22 |
| 1225222144 | Allergy and Asthma Care Inc. | Allergy & Immunology | 2509 Virginia St Ne Ste B, Albuquerque, NM 87110-4695 | 2007-09-04 |
| 1922147958 | Shanze Wang | Allergy & Immunology | 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 | 2007-02-06 |
| 1871672535 | Bruce H Feldman | Allergy & Immunology | 4901 Lang Ave Ne Ste 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
| 1144235607 | Mark Schuyler | Allergy & Immunology | 1 Unm, Msc10 5550, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1467475756 | Michael H Keslin | Allergy & Immunology | 6100 Pan American East Fwy Ne, Suite 330, Albuquerque, NM 87109-3427 | 2006-07-26 |
| 1225007644 | Shayne C Stokes | Allergy & Immunology | 377 Mdg Sghq, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2006-03-16 |
| 1811969322 | Ronald John Rosandich | Allergy & Immunology | 8010 Mountain Rd Ne, Albuquerque, NM 87110-7840 | 2006-02-07 |
| 1437158664 | Katherine Jean Abernathy-carver | Allergy & Immunology | 2509 Virginia St Ne, Ste B, Albuquerque, NM 87110-4694 | 2005-07-19 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
Please comment or provide details below to improve the information on AMANDA VIOLET GRIPPEN GODDARD.
| 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.