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EVERNORTH CARE PROVIDERS - ARIZONA PC
NPI 1417712233
General Practice in Albuquerque, NM

Active since February 20, 2024
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evernorth Care Providers - Arizona Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS - ARIZONA PC (NPI 1417712233) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since February 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1417712233
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - ARIZONA PC
Location Address500 MARQUETTE AVE NW STE 1200Albuquerque, NM 87102-5312
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1417712233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
500 MARQUETTE AVE NW STE 1200, Albuquerque, NM 87102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN CHAVEZ MPH
Behavior Technician
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 550-4950
MOUNTAIN BLUE MEDICAL TRANS LLC
Non-emergency Medical Transport (VAN)
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (832) 209-0360
JENNA BLAND
Behavior Technician
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 522-7750
BETH RAIOLA
Behavior Analyst
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (855) 832-6727
SANDRA SCOTT
Behavior Technician
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 295-6685
NINA COOK
Behavior Technician
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 295-6685
GOLDEN BRIDGE ABA LLC
Behavior Analyst
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (347) 567-2797
ALANNA MATTISON
Behavior Technician
500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 522-7750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Care Providers - Arizona PC's NPI number?

The NPI number for Evernorth Care Providers - Arizona PC is 1417712233. It was assigned to this organization in the NPPES registry on February 20, 2024.

Where is Evernorth Care Providers - Arizona PC located?

Evernorth Care Providers - Arizona PC is located at 500 Marquette Ave NW Ste 1200, Albuquerque, NM 87102. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Arizona PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Arizona PC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.