| First Choice Community Healthcare, Inc. | |
|
2001 El Centro Familiar Sw Albuquerque NM 87105-4592 | |
| (505) 873-7405 | |
| (505) 873-7444 |
| Full Name | First Choice Community Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2001 El Centro Familiar Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jeremiah Dye (CEO) |
| Authorized Official Contact | 5052415182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Community Healthcare, Inc. Po Box 912678 Denver CO 80291-2678 Ph: (505) 241-5182 | First Choice Community Healthcare, Inc. 2001 El Centro Familiar Sw Albuquerque NM 87105-4592 Ph: (505) 873-7405 |
| NPI Number | 1902993132 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 7315854049 |
|---|---|
| Medicare Enrollment ID | O20040121001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902993132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Caryn Mcharney-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184680035 PECOS PAC ID: 0345136339 Enrollment ID: I20040226000104 |
| Provider Name | Robert Gomez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750303251 PECOS PAC ID: 7416923511 Enrollment ID: I20040909000769 |
| Provider Name | Sylvia R Wittels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154799971 PECOS PAC ID: 6901855733 Enrollment ID: I20050119000149 |
| Provider Name | Nora Rose Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295725331 PECOS PAC ID: 2668493438 Enrollment ID: I20051227000286 |
| Provider Name | Monica Briones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265449094 PECOS PAC ID: 2860491065 Enrollment ID: I20061218000171 |
| Provider Name | Stephanie M Nevarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659387272 PECOS PAC ID: 5092715557 Enrollment ID: I20070105000401 |
| Provider Name | Juan R Bustillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700892445 PECOS PAC ID: 7315039450 Enrollment ID: I20070822000327 |
| Provider Name | Saverio J Sava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063494409 PECOS PAC ID: 2567558182 Enrollment ID: I20071012000235 |
| Provider Name | Richard S Aries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932248937 PECOS PAC ID: 7012003312 Enrollment ID: I20071018000140 |
| Provider Name | Mona N Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528107539 PECOS PAC ID: 8123115516 Enrollment ID: I20071101000255 |
| Provider Name | Catherine T Fresquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073613915 PECOS PAC ID: 9830279173 Enrollment ID: I20071228000045 |
| Provider Name | Karen J Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720051808 PECOS PAC ID: 6507946795 Enrollment ID: I20071228000424 |
| Provider Name | James G Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255348207 PECOS PAC ID: 4385724483 Enrollment ID: I20080102000153 |
| Provider Name | Caline Cone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316086333 PECOS PAC ID: 2466538848 Enrollment ID: I20080326000073 |
| Provider Name | Brian M Shelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629084223 PECOS PAC ID: 5092776179 Enrollment ID: I20080404000344 |
| Provider Name | Benjamin A Buxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194864108 PECOS PAC ID: 5092876540 Enrollment ID: I20090526000033 |
| Provider Name | Naishadh A Mankad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598733859 PECOS PAC ID: 8224189436 Enrollment ID: I20090630000101 |
| Provider Name | Jennifer M Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013056001 PECOS PAC ID: 6800949546 Enrollment ID: I20090729000122 |
| Provider Name | Jeremiah Dye |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376774653 PECOS PAC ID: 9931254505 Enrollment ID: I20090903000095 |
| Provider Name | Jamie N Libertoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326239864 PECOS PAC ID: 1254473119 Enrollment ID: I20100115000435 |
| Provider Name | Gloria Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023257037 PECOS PAC ID: 0345379731 Enrollment ID: I20100524000265 |
| Provider Name | Tasha J Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639394596 PECOS PAC ID: 5597880310 Enrollment ID: I20100917000048 |
| Provider Name | Maxsimo C Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932190675 PECOS PAC ID: 5698890291 Enrollment ID: I20100920001022 |
| Provider Name | Jennifer Pentecost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679555023 PECOS PAC ID: 7012197684 Enrollment ID: I20110215000063 |
| Provider Name | Adela S Tam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033393475 PECOS PAC ID: 8022163815 Enrollment ID: I20110316000603 |
| Provider Name | Lisa Ann Bishop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306919030 PECOS PAC ID: 4880879790 Enrollment ID: I20110419000507 |
| Provider Name | Yolanda M Morales |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578742243 PECOS PAC ID: 3375719149 Enrollment ID: I20111228000351 |
| Provider Name | Tamara Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003081928 PECOS PAC ID: 2860538303 Enrollment ID: I20120402000064 |
| Provider Name | Laura C Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548541550 PECOS PAC ID: 0345496576 Enrollment ID: I20120803000425 |
| Provider Name | Galen C Loughrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225271083 PECOS PAC ID: 4587812987 Enrollment ID: I20120910000341 |
| Provider Name | Silaja Cheruvu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407099559 PECOS PAC ID: 2769630698 Enrollment ID: I20120918000308 |
| Provider Name | Scott Jeansonne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902034879 PECOS PAC ID: 9739339821 Enrollment ID: I20121026000046 |
| Provider Name | Will Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083820120 PECOS PAC ID: 0244386712 Enrollment ID: I20130222000249 |
| Provider Name | Cara M Scholl |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104142561 PECOS PAC ID: 2163667270 Enrollment ID: I20130320000462 |
| Provider Name | Lisa Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548513716 PECOS PAC ID: 0547409005 Enrollment ID: I20130614000062 |
| Provider Name | Mona V Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770809907 PECOS PAC ID: 2163664848 Enrollment ID: I20130808000424 |
| Provider Name | Steven Ogas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114243847 PECOS PAC ID: 4486897063 Enrollment ID: I20130829000422 |
| Provider Name | Denise S Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528116597 PECOS PAC ID: 7618928029 Enrollment ID: I20131205000336 |
| Provider Name | Christopher C French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255434239 PECOS PAC ID: 2567404189 Enrollment ID: I20140318001045 |
| Provider Name | Juliana Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275823783 PECOS PAC ID: 0244457703 Enrollment ID: I20140807001164 |
| Provider Name | Deborah J Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861474207 PECOS PAC ID: 2668699687 Enrollment ID: I20140814000744 |
| Provider Name | Tatyana Guerrero-pezzano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013201359 PECOS PAC ID: 4789818857 Enrollment ID: I20141021000927 |
| Provider Name | Frederick H Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306264296 PECOS PAC ID: 7719109800 Enrollment ID: I20141104002659 |
| Provider Name | Katie T Kivlighan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205248861 PECOS PAC ID: 4789906520 Enrollment ID: I20141204001705 |
| Provider Name | Cesar A Salazar Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396154373 PECOS PAC ID: 6709108327 Enrollment ID: I20141209001439 |
| Provider Name | Jessica M Monthan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851683411 PECOS PAC ID: 2365683612 Enrollment ID: I20150406001957 |
| Provider Name | Minda Brown Jaramillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740495753 PECOS PAC ID: 9638361538 Enrollment ID: I20150819007704 |
| Provider Name | Maryanne Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811379498 PECOS PAC ID: 3678880432 Enrollment ID: I20150911001059 |
| Provider Name | Savanna R Bustos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447516612 PECOS PAC ID: 2365665403 Enrollment ID: I20150925002106 |
| Provider Name | Jesse M Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891991279 PECOS PAC ID: 4880902758 Enrollment ID: I20150928000664 |
| Provider Name | Darla K Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164802047 PECOS PAC ID: 5395053862 Enrollment ID: I20151002000243 |
| Provider Name | Wendy A Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265700439 PECOS PAC ID: 1052553187 Enrollment ID: I20151107000225 |
| Provider Name | Esther D Verzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416082 PECOS PAC ID: 5294037347 Enrollment ID: I20160106000652 |
| Provider Name | Jeanne Marie Marotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932565967 PECOS PAC ID: 6507163466 Enrollment ID: I20160321002459 |
| Provider Name | Stephanie Hucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770933707 PECOS PAC ID: 5890089155 Enrollment ID: I20160809001621 |
| Provider Name | Christine Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588114193 PECOS PAC ID: 5193005056 Enrollment ID: I20161212000015 |
| Provider Name | Therese Irene Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922449644 PECOS PAC ID: 3971885021 Enrollment ID: I20170125000318 |
| Provider Name | Mateo Seifert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770937039 PECOS PAC ID: 3274817812 Enrollment ID: I20170228000803 |
| Provider Name | Milton Godinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700868148 PECOS PAC ID: 3274819156 Enrollment ID: I20170406002447 |
| Provider Name | Eva R. A. Warner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881135416 PECOS PAC ID: 8426325770 Enrollment ID: I20170517001647 |
| Provider Name | Lucinda Nevarez-melby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235453739 PECOS PAC ID: 0840567855 Enrollment ID: I20170523001467 |
| Provider Name | Emily Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023437449 PECOS PAC ID: 1254559347 Enrollment ID: I20170825002222 |
| Provider Name | Francheska S Gurule |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376962241 PECOS PAC ID: 0547551871 Enrollment ID: I20170906002102 |
| Provider Name | Aissa C Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265850531 PECOS PAC ID: 5890915540 Enrollment ID: I20170908000055 |
| Provider Name | Nina E Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083904023 PECOS PAC ID: 5698068575 Enrollment ID: I20170922003098 |
| Provider Name | Milena Sudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164764304 PECOS PAC ID: 7911272372 Enrollment ID: I20171011000667 |
| Provider Name | Jenny J Searcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699297283 PECOS PAC ID: 7113283227 Enrollment ID: I20171106002276 |
| Provider Name | Maria Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013207752 PECOS PAC ID: 1355608977 Enrollment ID: I20171206001032 |
| Provider Name | Savannah Apodaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050270 PECOS PAC ID: 9032473756 Enrollment ID: I20180504001791 |
| Provider Name | Erin Elizabeth Bulleit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639564974 PECOS PAC ID: 0244544948 Enrollment ID: I20180611002807 |
| Provider Name | Cassie Fairchild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972913994 PECOS PAC ID: 6901128685 Enrollment ID: I20180622002105 |
| Provider Name | Amy Kathryn Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235639634 PECOS PAC ID: 2668728684 Enrollment ID: I20180705002319 |
| Provider Name | Kelly S Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023241924 PECOS PAC ID: 1052668548 Enrollment ID: I20180713002448 |
| Provider Name | Erik P Arellano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083001242 PECOS PAC ID: 6204149933 Enrollment ID: I20180716002763 |
| Provider Name | Emily Elizabeth Pike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569847 PECOS PAC ID: 4183848088 Enrollment ID: I20180726001643 |
| Provider Name | Shirlena T Waters |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548587991 PECOS PAC ID: 4183972235 Enrollment ID: I20180806001407 |
| Provider Name | Kresta S Antillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861887192 PECOS PAC ID: 9537474002 Enrollment ID: I20181101002432 |
| Provider Name | Holly Ann Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497237077 PECOS PAC ID: 4082968151 Enrollment ID: I20181109000238 |
| Provider Name | Katrina Y Cole-riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932186426 PECOS PAC ID: 7214281500 Enrollment ID: I20181127000889 |
| Provider Name | Sara Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689026577 PECOS PAC ID: 5597009845 Enrollment ID: I20181128000206 |
| Provider Name | Melissa Dawn Jackson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871930099 PECOS PAC ID: 6901108984 Enrollment ID: I20181213002733 |
| Provider Name | Danielle Denise Draper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306276241 PECOS PAC ID: 7911139423 Enrollment ID: I20181226000563 |
| Provider Name | Rosalicia D Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366821498 PECOS PAC ID: 9234441379 Enrollment ID: I20190102000176 |
| Provider Name | Silvia Juarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356493878 PECOS PAC ID: 9931382819 Enrollment ID: I20190122003185 |
| Provider Name | Keith M Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891113015 PECOS PAC ID: 3870713092 Enrollment ID: I20190218001295 |
| Provider Name | Patricia Pesantez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497173843 PECOS PAC ID: 3678862216 Enrollment ID: I20190219000229 |
| Provider Name | Laura Price-waldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982052676 PECOS PAC ID: 2860732617 Enrollment ID: I20190314001229 |
| Provider Name | Anjoli Antonia Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871865378 PECOS PAC ID: 7618219346 Enrollment ID: I20190430001278 |
| Provider Name | Shelly Fritz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629066766 PECOS PAC ID: 8628129012 Enrollment ID: I20190619002777 |
| Provider Name | Craig Testerman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194383752 PECOS PAC ID: 2466786116 Enrollment ID: I20190628001794 |
| Provider Name | Laura Pauwels |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427581537 PECOS PAC ID: 5597099119 Enrollment ID: I20190701001925 |
| Provider Name | Miguel Roberto Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891149316 PECOS PAC ID: 1759615321 Enrollment ID: I20190702000882 |
| Provider Name | Jasen Andrew Christensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962541987 PECOS PAC ID: 5799809851 Enrollment ID: I20190712002341 |
| Provider Name | Jonathan Edward Pauwels |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699330969 PECOS PAC ID: 7618203910 Enrollment ID: I20190724002523 |
| Provider Name | Jacinda Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508321696 PECOS PAC ID: 0345576450 Enrollment ID: I20190727000205 |
| Provider Name | Brittany R Mcdaniel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457840266 PECOS PAC ID: 5092063040 Enrollment ID: I20190821000898 |
| Provider Name | Maria Pasillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609437334 PECOS PAC ID: 8729317870 Enrollment ID: I20190916000391 |
| Provider Name | Allison Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376993428 PECOS PAC ID: 6305134529 Enrollment ID: I20191022001680 |
| Provider Name | Samantha D Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699139402 PECOS PAC ID: 4880988997 Enrollment ID: I20191105001022 |
| Provider Name | Alison Case |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063862217 PECOS PAC ID: 8426342924 Enrollment ID: I20191207000111 |
| Provider Name | Tenzin Yangchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922241 PECOS PAC ID: 2567895261 Enrollment ID: I20191211001526 |
| Provider Name | Marion F Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689022162 PECOS PAC ID: 1759674518 Enrollment ID: I20191216000442 |
| Provider Name | Frederick Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083806343 PECOS PAC ID: 1951498252 Enrollment ID: I20200302000901 |
| Provider Name | Mary Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265953319 PECOS PAC ID: 3375812399 Enrollment ID: I20200706001022 |
| Provider Name | Miranda M Velikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356874234 PECOS PAC ID: 6800167271 Enrollment ID: I20200820003489 |
| Provider Name | Alexandra R King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558898569 PECOS PAC ID: 6204105000 Enrollment ID: I20200910000590 |
| Provider Name | Jennifer A O'brien Dambmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871840785 PECOS PAC ID: 5799196077 Enrollment ID: I20201117001145 |
| Provider Name | Jaleh M Akhavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043743008 PECOS PAC ID: 9133490899 Enrollment ID: I20201120000737 |
| Provider Name | Luis Gabriel Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394468 PECOS PAC ID: 4688085400 Enrollment ID: I20201201000511 |
| Provider Name | Terry L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124345764 PECOS PAC ID: 8224278239 Enrollment ID: I20210324002271 |
| Provider Name | Jennifer Lynn Huls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437735693 PECOS PAC ID: 0244632263 Enrollment ID: I20210714000850 |
| Provider Name | Justin Wayne Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760772164 PECOS PAC ID: 7911303961 Enrollment ID: I20210831001641 |
| Provider Name | Emilia Rosa Vesper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114411246 PECOS PAC ID: 1951709245 Enrollment ID: I20211018002959 |
| Provider Name | Karissa Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869824 PECOS PAC ID: 2961751987 Enrollment ID: I20211117000998 |
| Provider Name | Julia S Rauchfuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699272385 PECOS PAC ID: 3173871274 Enrollment ID: I20211123003266 |
| Provider Name | Julia R Ruby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205331956 PECOS PAC ID: 5294083267 Enrollment ID: I20211215003018 |
| Provider Name | Alycia Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609593334 PECOS PAC ID: 1759740152 Enrollment ID: I20230703001493 |
| Provider Name | Brendan J Deline |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992385819 PECOS PAC ID: 3375904683 Enrollment ID: I20230803000525 |
| Provider Name | Laura B Ahrens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467005025 PECOS PAC ID: 1052772209 Enrollment ID: I20230803002569 |
| Provider Name | Giovanni Avila |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437733524 PECOS PAC ID: 9739540857 Enrollment ID: I20230804001384 |
| Provider Name | Isabel Nava Marquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902435126 PECOS PAC ID: 1557788296 Enrollment ID: I20230905002309 |
| Provider Name | Lucinda Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619530391 PECOS PAC ID: 5890022610 Enrollment ID: I20231009000371 |
| Provider Name | Luisana Salcido Talamantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417322702 PECOS PAC ID: 3577911346 Enrollment ID: I20231205001008 |
| Provider Name | Clint A Brayfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295354942 PECOS PAC ID: 2062839939 Enrollment ID: I20231213002638 |
| Provider Name | Tracy J Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366127375 PECOS PAC ID: 7517318306 Enrollment ID: I20240105001348 |
| Provider Name | Joyce Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700659901 PECOS PAC ID: 9133566771 Enrollment ID: I20240319001914 |
| Provider Name | Sonya Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760023436 PECOS PAC ID: 8921445388 Enrollment ID: I20240320002951 |
| Provider Name | Lovette A Ndubisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225734601 PECOS PAC ID: 3779922042 Enrollment ID: I20240419000017 |
| Provider Name | Elizabeth Fogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346797453 PECOS PAC ID: 4880034453 Enrollment ID: I20240430000868 |
| Provider Name | Nathan D Cogburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083470116 PECOS PAC ID: 2365446036 Enrollment ID: I20240502000338 |
Double Happiness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 | |
Albuquerque Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 | |
Gabriella Good Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 | |
Hands On Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 | |
Medicus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 Montgomery Pkwy Ne, Albuquerque, NM 87111 Phone: 505-234-1040 Fax: 505-293-7183 | |
Lovelace Healthcare Center-rio Bravo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 Phone: 505-873-6400 Fax: 505-873-6403 | |
Health Quest Wellness Cottonwood Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9664 Eagle Ranch Rd Nw Ste A-1, Albuquerque, NM 87114 Phone: 505-890-9355 |