EVAN PULLIAM (NPI# 1962882738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962882738 |
| Entity Type | Individual |
| Full Name | EVAN PULLIAM |
| Practice Address |
1515 Eubank Blvd Se Bldg 831832 Albuquerque NM 87123-3453 |
| Practice Telephone | 5054121367 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | Emergency Medical Service Providers |
| Street Address |
1515 EUBANK BLVD SE BLDG 831832 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447515952 | Laura Kathleen Foreman | Dietitian, Registered | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2012-07-10 |
| 1902280621 | Anthony Rodgers | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-07-13 |
| 1962884569 | Angela Volpato | Nurse's Aide | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-19 |
| 1750763355 | Shannon Candelaria | Registered Nurse | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-19 |
| 1114308921 | Jennifer Stafford | Registered Nurse | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-17 |
| 1639559115 | Jonna Jaynes | Nurse's Aide | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-01 |
| 1396136891 | Kaela Pearson | Health Educator | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-02-05 |
| 1609266543 | Alysia Vallejos | Nurse's Aide | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, Albuquerque, NM 87123-3453 | 2015-01-30 |
| 1881008571 | Sandia National Labs | Clinic/Center | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2014-06-20 |
| 1083035075 | Sandia National Laboratory | Clinic/Center | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396094488 | Frank Woods Soto Jr. | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831 832, Albuquerque, NM 87123-1019 | 2012-09-05 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1407368541 | Faith Ezenogha | Emergency Medical Technician, Paramedic | Unm Hospital, 2211 Lomas Blvd, Se, Albuquerque, NM 87106 | 2017-10-30 |
| 1902280621 | Anthony Rodgers | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-07-13 |
| 1205216827 | Brian Glenn | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2015-06-09 |
| 1538549316 | Christopher Ortiz | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Albuquerque, NM 87123-3453 | 2015-06-05 |
| 1720336449 | Robert M Grothe | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2012-08-28 |
| 1477800803 | Lloyd T Rantanen | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg. 831/832, Albuquerque, NM 87123-3453 | 2012-08-03 |
| 1962758409 | Michael Anthony Romo | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg. 831/832, Albuquerque, NM 87185-1019 | 2012-08-02 |
| 1861747230 | Derrick L. Ross | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg 831, Albuquerque, NM 87185-1019 | 2012-07-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87123 |
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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.