Alicia Pruitt (NPI# 1366436321, PAC ID# 0244381598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1366436321 |
PAC ID by PECOS | 0244381598 |
Professional Enrollment ID | I20111111000447 |
Full Name | Alicia Pruitt |
Organization Legal Name | APP OF NEW MEXICO ED PLLC |
Address |
10501 Golf Course Road Nw Lovelace Westside Hospital Albuquerque NM 87114-5019 |
Phone Number | 5057272000 |
Gender | F |
Graduation Year | 1999 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7416259445 |
Number of Group Practice Members | 42 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320009 | LOVELACE MEDICAL CENTER |
320017 | LOVELACE WOMEN'S HOSPITAL |
320074 | LOVELACE WESTSIDE HOSPITAL |
Address | Phone | Organization |
---|---|---|
10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 | 5057272000 | APP OF NEW MEXICO ED PLLC |
Organization Legal Name | APP OF NEW MEXICO ED PLLC |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew D Poage | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
William J. Bussey | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
Michael Wayne Mouw | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
Stacy Lynn Prescott | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
Willard M Garrett | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
Grant P Chanin | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Janet Anne Rosenquist | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Rebecca Alberta Echols | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Wende R Buras | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
Keith P Dungo | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
Street Address |
10501 GOLF COURSE ROAD NW LOVELACE WESTSIDE HOSPITAL |
City | ALBUQUERQUE |
State | NM |
Zip | 87114-5019 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew D Poage | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Grant P Chanin | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Janet Anne Rosenquist | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Rebecca Alberta Echols | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Carly Buckingham | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Wendee K Burnett | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Albert J Lobato | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Mintie | Clinical Social Worker | 312 Wayne Rd Nw, Albuquerque, NM 87114-1028 | |
Esther D Davis | Psychologist, Clinical | 1127 Alameda Blvd Nw, Suite C, Albuquerque, NM 87114-1240 | |
Ricardo J Ortega | Family Medicine | 5519 Rabadi Castle Nw, Albuquerque, NM 87114-1412 | |
Frances K Lopez-bushnell | Nurse Practitioner | 931 Camino Ranchos Nw, Albuquerque, NM 87114-1815 | |
Barbara J Leviton | Psychologist, Clinical | 1100 Alameda Blvd Nw, Albuquerque, NM 87114-1937 | |
Kenneth W Hodder | Clinical Social Worker | 1100 Alameda Blvd Nw, Albuquerque, NM 87114-1937 | |
Piseth Knight | Nurse Practitioner | 1111 Alameda Blvd Nw, Suite B, Albuquerque, NM 87114-1953 | |
Roberta Rice | Clinical Social Worker | 604 Calle De Los Hijos Nw, Albuquerque, NM 87114-2059 | |
Harvey J White Jr. | Cardiovascular Disease (cardiology) | 10601 4th St Nw, Albuquerque, NM 87114-2407 | |
Kimberley B Oldewage | Physician Assistant | Presbyterian Healthcare Services | 4588 Paradise Blvd Nw, Pmg Paradise, Albuquerque, NM 87114-4105 |
Find all physicians in zip 87114 |
City | ALBUQUERQUE |
Zip Code | 87114 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ALBUQUERQUE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alicia Pruitt.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.