ALYSSA GONZALES (NPI# 1992990436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992990436 |
Entity Type | Individual |
Full Name | ALYSSA GONZALES |
Credential | PA |
Practice Address |
9101 Montgomery Blvd Ne Albuquerque NM 87111 |
Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
Practice Telephone | 5052754270 |
Practice Fax Number | 5052321017 |
Mailing Telephone | 5052627963 |
Mailing Fax Number | 5052321627 |
Enumeration Date | 2007-09-07 |
Last Update Date | 2019-05-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2005-0043 | NM | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 00739847 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2929 Coors Blvd Nw, Suite 200, Albuquerque, NM 871201173 | 5058392300 | 5058392300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043847569 | Alyssa Victoria Gonzales | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2020-03-25 |
1407499858 | Alyssa Mariah Gonzales | Counselor | 1830 S Central St, Visalia, CA 93277-4418 | 2019-10-17 |
1013577089 | Alyssa Marie Gonzales | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2019-06-20 |
Street Address |
9101 MONTGOMERY BLVD NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366475865 | Peter Koenigsberg | Family Medicine | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111 | 2006-07-08 |
1811483266 | Diana E Krenz | Nurse Practitioner | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2018-07-09 |
1902214273 | Katherine Deutsch | Nurse Practitioner | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2014-07-30 |
1912338310 | Urvi Shah | Pediatrics | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111 | 2013-12-10 |
1619131588 | Sweta Pranav Patel | Pharmacist | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2008-07-10 |
1811177090 | Timothy A Rodriguez | Pharmacist | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2007-11-06 |
1588858047 | Steve Rodriguez | Pharmacist | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2007-08-28 |
1700947744 | Michael Garcia | Family Medicine | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111 | 2006-12-13 |
1528142668 | Lovelace Health Systems Inc | Pharmacy | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2006-10-25 |
1932293313 | Christopher R Miera | Family Medicine | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2006-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
Find all providers in zip 87111 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
1457686511 | Bayle R. Curtis | Physician Assistant | 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 | 2009-10-07 |
1215173919 | Amber Dawn Hansen | Physician Assistant | 1100 Cenrral Ave Se, Albuquerque, NM 87106 | 2008-12-30 |
1508028606 | Angela Genette Baumeister | Physician Assistant | 707 13th St Nw, Albuquerque, NM 87102-1841 | 2008-06-30 |
1528230117 | Laura Wylie | Physician Assistant | 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 | 2008-03-24 |
1457406951 | Deneen Tomayko | Physician Assistant | 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 | 2007-01-24 |
1083793665 | Karen Kay Nester | Physician Assistant | 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87111 |
Please comment or provide details below to improve the information on ALYSSA GONZALES.
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.