ORIGINAL MEDICINE ACUPUNCTURE & WELLNESS, LLC (NPI# 1750688297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750688297 |
| Entity Type | Organization |
| Organization Name | ORIGINAL MEDICINE ACUPUNCTURE & WELLNESS, LLC |
| Practice Address |
1001 Luna Cir Nw Albuquerque NM 87102-1973 |
| Practice Telephone | 5055036490 |
| Practice Fax Number | 5055036495 |
| Mailing Telephone | 5055036490 |
| Mailing Fax Number | 5055036495 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | DR. REBA I EAGLES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5055036490 |
| Authorized Official Credential | DOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
833 | NM | Ambulatory Health Care Facilities |
| Street Address |
1001 LUNA CIR NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699984815 | Tera James Langston | Psychologist | 1001 Luna Cir Nw, Albuquerque, NM 87102-1973 | 2007-05-22 |
| 1568884690 | Intervention & Prevention Network | Community/Behavioral Health | 1001 Luna Cir Nw, Albuquerque, NM 87102-1973 | 2014-01-08 |
| 1043535859 | Hope D Varela | Social Worker | 1001 Luna Cir Nw, Albuquerque, NM 87102-1973 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013367440 | Caperton Fertility Institute, LLC | Clinic/Center | 6500 Jefferson St Ne Ste 250, Albuquerque, NM 87109-3490 | 2016-06-16 |
| 1033599741 | Power of Touch Massage Therapy | Clinic/Center | 5353 Wyoming Blvd Ne Ste C, Albuquerque, NM 87109 | 2015-06-08 |
| 1740620327 | Contact Lens Gallery, Inc. | Clinic/Center | 6321 Riverside Plaza Ln Nw Ste B, Albuquerque, NM 87120-2641 | 2013-06-27 |
| 1356780597 | Health Quest Albuquerque Acres LLC | Clinic/Center | 8650 Alameda Blvd Ne, Suite 104e, Albuquerque, NM 87122-3744 | 2013-06-20 |
| 1275801359 | Visionquest I-rx Inc | Clinic/Center | 2501 Yale Blvd Se Ste 301, Albuquerque, NM 87106-4358 | 2011-12-05 |
| 1427387836 | Francesco Standoli Md, LLC | Clinic/Center | 9207 Snowridge Ct Ne, Albuquerque, NM 87111-2440 | 2009-12-14 |
| 1871947861 | Luis Cuadros Md LLC | Clinic/Center | 8232 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2429 | 2016-04-16 |
| 1538573027 | Sol State Massage | Clinic/Center | 5353 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87109 | 2014-06-12 |
| 1457788317 | Health Quest Wellness Journal Center LLC | Clinic/Center | 3824 Masthead St Ne, Albuquerque, NM 87109-4479 | 2013-10-08 |
| 1750688032 | Rio Grande Internal Medicine PC | Clinic/Center | 4801 Mcmahon Blvd Nw, Suite 235, Albuquerque, NM 87114-5090 | 2011-02-22 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on ORIGINAL MEDICINE ACUPUNCTURE & WELLNESS, 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.