DIABETES NETWORK, INC. (NPI# 1861540148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861540148 |
| Entity Type | Organization |
| Organization Name | DIABETES NETWORK, INC. |
| Practice Address |
4108 Alcazar St Ne Albuquerque NM 87109-1809 |
| Practice Telephone | 5058300100 |
| Practice Fax Number | 5058304199 |
| Mailing Telephone | 5058300100 |
| Mailing Fax Number | 5058304199 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CATHERINE ANNE GRAY (CO-OWNER, CFO, COO) |
| Authorized Official Telephone | 5058300100 |
| Authorized Official Credential | CNS, BC-ADM, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS PROVIDER NUM | R79B | 01 |
| Street Address |
4108 ALCAZAR ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1809 |
| 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 | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801944152 | Deborah Kester Dennis | Clinical Nurse Specialist | 933 Bradbury Dr Se, Suite 22222, Albuquerque, NM 87106-4374 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895487 | Wanda Jean Borges | Clinical Nurse Specialist | 520 Walton Blvd., Suite C, Las Cruces, NM 88001 | 2005-07-18 |
| 1932103728 | Melinda A Toth | Clinical Nurse Specialist | 115 E Country Club Rd, Roswell, NM 88201-6520 | 2005-06-09 |
| 1942306501 | Lynda Carole Shey | Clinical Nurse Specialist | 111 Sandoval Rd Sw, Rio Abajo Family Practice, Los Lunas, NM 87031-7320 | 2006-09-14 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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| 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.