MR. JUSTIN DAVID LAIRD (NPI# 1912379876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912379876 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN DAVID LAIRD |
| Credential | RN, LMHC |
| Practice Address |
933 Bradbury Dr Se St. 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052723120 |
| Practice Fax Number | 5052728060 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0163261 | NM | Behavioral Health & Social Service Providers |
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN-71867 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114494473 | Justin Laird | Licensed Vocational Nurse | 21455 Pleasant Forest Bnd, Porter, TX 77365-4779 | 2018-10-25 |
| 1144734278 | Justin Laird | Psychoanalyst | 302 5th Ave Fl 8, New York, NY 10001-3604 | 2017-11-28 |
| Street Address |
933 BRADBURY DR SE ST. 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604854 | Jess Graham | Radiology | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2005-10-24 |
| 1821603713 | Mushtaq Syed | Community Health Worker | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2020-09-09 |
| 1609363811 | Storm A Dorrough | Student in an Organized Health Care Education/Training Program | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2018-04-13 |
| 1851849996 | Mushobwe Miles | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-09-19 |
| 1831647916 | Darcy Marie Murphy | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-09-16 |
| 1124470307 | Arthur Lopez | Psychologist | 933 Bradbury Dr Se, Pfs Suite 1120, Albuquerque, NM 87106-4374 | 2016-07-12 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1720446545 | Tanya L Montoya | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-02-08 |
| 1396119061 | Alethea Re | Nurse's Aide | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-11-18 |
| 1437521325 | Violeta Duran | Registered Nurse | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| Find all providers in the same location | ||||
| 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 | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851843601 | Ronald Haygood Jr. | Registered Nurse | 123 Madeiar Dr Se, Albuquerque, NM 87108 | 2016-10-27 |
| 1346690203 | Melanie Reed | Registered Nurse | 9821 Fostoria Rd Ne, Albuquerque, NM 87111-1244 | 2016-06-21 |
| 1033502596 | Susan Nancy Goeke | Registered Nurse | 123 Madeira Drive S.e., Albuquerque, NM 87108 | 2015-03-09 |
| 1699380642 | Sarah Heredia | Registered Nurse | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-09-15 |
| 1740753516 | Denise Hernandez | Registered Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-04 |
| 1356827612 | Gina Alejandra Gutierrez | Registered Nurse | 123 Madeira Dr Se, Albuquerque, NM 87108-2963 | 2018-07-19 |
| 1568813228 | Greg M Scott | Registered Nurse | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2016-06-23 |
| 1861842320 | Jessica Margiotta | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4217 | 2016-06-15 |
| 1437521325 | Violeta Duran | Registered Nurse | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| 1073906046 | Michelle Carrillo | Registered Nurse | 123 Madeira Dr Se, Albuquerque, NM 87108-2963 | 2015-03-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.