ALYSIA VALLEJOS
Complete NPI Record 1609266543
Nurse's Aide in Albuquerque, NM

NPI Status: Active since January 30, 2015

Contact Information

1515 EUBANK BLVD SE BLDG 831832
ALBUQUERQUE
ALBUQUERQUE, NM
ZIP 87123
Phone: (505) 844-4237

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Complete NPI Dataset

This page represents the complete record for NPI 1609266543. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1609266543
Entity Type Code: 1
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Provider First Name: ALYSIA
Provider First Line Business Mailing Address: 1515 EUBANK BLVD SE BLDG 831832
Provider Second Line Business Mailing Address: ALBUQUERQUE
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Provider Business Mailing Address City Name: ALBUQUERQUE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NM
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 871233453
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 5058444237
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 1515 EUBANK BLVD SE BLDG 831832
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: ALBUQUERQUE
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: ALBUQUERQUE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NM
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 871233453
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5058444237
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 1/30/2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 1/30/2015
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 376K00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No