CARRIE TINGLEY OUTPATIENT CLINIC
NPI 1669536603
Special Hospital in Albuquerque, NM
NPI Status: Active since December 21, 2006
Contact Information
1127 UNIVERSITY BLVD NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 272-5200
Fax: (505) 272-3215
- Organization
- Special Hospital
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 32D0707415
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 08-31-2026
About CARRIE TINGLEY OUTPATIENT CLINIC
This page provides the complete NPI Profile along with additional information for Carrie Tingley Outpatient Clinic, a provider established in Albuquerque, New Mexico operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1669536603 assigned on December 2006. The practitioner's primary taxonomy code is 284300000X with license number 6074 (NM). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Carrie Tingley Outpatient Clinic. The authorized official of this NPI record is Bonnie Marie White (Chief Financial Officer)
- NPI
- 1669536603
- Provider Legal Name
- UNM HOSPITAL
- Other Organization Name
- CARRIE TINGLEY OUTPATIENT CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1127 UNIVERSITY BLVD NE ALBUQUERQUE, NM 87102
- Location Phone
- (505) 272-5200
- Location Fax
- (505) 272-3215
- Mailing Address
- 400 TIJERAS AVE NW STE 450 ALBUQUERQUE, NM 87102
- Mailing Phone
- (505) 272-2521
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2006
- Last Update Date
- 01-08-2020
- Code Navigator
Carrie Tingley Outpatient Clinic is a medicare supplier with PTAN 20636021 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Special Hospital
- Taxonomy Code
- 284300000X
- Type
- Hospitals
- License No.
- 6074
- License State
- NM
- Taxonomy Description
- A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60054 | OTHER (01) | NM | AETNA |
| NM000062 | OTHER (01) | NM | BCBS |
| 450 | OTHER (01) | NM | LOVELACE SALUD |
| 62308 | OTHER (01) | NM | CIGNA |
| 02156901 | OTHER (01) | NM | AHCCCS |
| 201080119 | OTHER (01) | NM | PRESBYTERIAN SALUD |
| 0003 | OTHER (01) | NM | CHAMPUS |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20636021
- Accepts Medicare Assignment
- YES
- Specialities List
- Nursing Facility, Orthotic Personnel, Prosthetic Personnel, Hospital, Optician.
- Provider Type List
- INDEPENDENTLY-PRACTICING OCCUPATIONAL THERAPIST.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D0707415
- Facility Type
- Hospital
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. JACQUELINE FRIDGE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carrie Tingley Outpatient Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669536603, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669536603, enumerated as an "organization" on December 21, 2006.
The provider is located at 1127 UNIVERSITY BLVD NE ALBUQUERQUE, NM 87102 and the phone number is (505) 272-5200.
Special Hospital with taxonomy code 284300000X.
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
