STEPHANIE JULIET MAHOOTY (NPI# 1922399542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922399542 |
| Entity Type | Individual |
| Full Name | STEPHANIE JULIET MAHOOTY |
| Credential | N.P. |
| Practice Address |
3821 Masthead St Ne Albuquerque NM 87109-4679 |
| Practice Telephone | 5059987400 |
| Practice Fax Number | 5059987741 |
| Mailing Telephone | 5059987400 |
| Mailing Fax Number | 5059987741 |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2015-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP02584 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R48437 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP3997 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3821 MASTHEAD ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245503 | Christine Brickley | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2005-06-15 |
| 1093362170 | Rachel Lauren Montoya | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2019-08-22 |
| 1215582549 | Jessica Marie Rojas | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2019-08-04 |
| 1477105088 | Nicole Christine Pacheco | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2019-07-13 |
| 1609438043 | Deanne Beth Shermett | Registered Nurse | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2019-07-06 |
| 1699336859 | Stephen K Samoei | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2019-06-27 |
| 1053891879 | Elizabeth Nieto | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109 | 2018-08-21 |
| 1316323215 | Nicole Ann Murray | Clinical Nurse Specialist | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2015-08-03 |
| 1427430628 | Lan Nguyen | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2015-06-24 |
| 1144601683 | Lisa A Payant | Physician Assistant | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2015-06-10 |
| Find all providers in the same location | ||||
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662095 | Barbara Lynn Edmunds-kimrey | Nurse Practitioner | 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 | 2015-10-28 |
| 1609129691 | Wayne Bryan Chowaniec | Nurse Practitioner | Unm Cancer Center Msc07 4025 1201 Camino De, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-16 |
| 1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
| 1184691479 | Doorstep Medical Consultants, LLC | Nurse Practitioner | 7236 Dancing Eagle Ave Ne, Albuquerque, NM 87113-1350 | 2006-03-05 |
| 1285271478 | Michelle Lynn Keck | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2019-12-06 |
| 1053891879 | Elizabeth Nieto | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109 | 2018-08-21 |
| 1932685807 | Joan Brown | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-07-13 |
| 1295279156 | Susan Marie Robinson | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2016-12-12 |
| 1699179119 | Alanna Dancis | Nurse Practitioner | 1101 Medical Arts Ave Ne, Building 4, Suite A, Albuquerque, NM 87102-2706 | 2014-10-13 |
| 1912262395 | Diane Muzenjak | Nurse Practitioner | 1100 Central Ave Se, Presbyterian Heart Group, Albuquerque, NM 87110 | 2012-07-11 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on STEPHANIE JULIET MAHOOTY.
| 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.