ALYSSA GONZALES


Address: 9101 Montgomery Blvd Ne, Albuquerque, NM 87111
Phone: 5052754270

ALYSSA GONZALES (NPI# 1992990436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NM 00739847 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2929 Coors Blvd Nw, Suite 200, Albuquerque, NM 871201173 5058392300 5058392300

Other Providers ALYSSA GONZALES

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

Office Location

Street Address 9101 MONTGOMERY BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87111

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ALBUQUERQUE
Zip Code 87111

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Dataset Information

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.

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