STEPHANIE RABARA OMER
NPI 1750001715
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since August 30, 2022PECOS Enrolled
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-2111 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2026, Aug 30, 2022 (2 updates tracked since 2022).

About Stephanie Rabara Omer NPPES

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

STEPHANIE RABARA OMER (NPI 1750001715) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750001715
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE RABARA OMER
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4161
Sole ProprietorNo
Enumeration DateAugust 30, 2022
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1750001715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2211 LOMAS BLVD NE, Albuquerque, NM 87106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Rabara Omer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Internal Medicine (Addiction Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Adult Health)
2211 LOMAS BLVD NE, 2ND FLOOR
ALBUQUERQUE, NM 87106
Family Medicine
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Occupational Health)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Psychologist (Clinical)
2211 LOMAS BLVD NE, PSY CONSULTATION
ALBUQUERQUE, NM 87106
Internal Medicine
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Otolaryngology
2211 LOMAS BLVD NE, 2ND FLOOR - SURGICAL SPECIALTY CLINICS
ALBUQUERQUE, NM 87106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750001715, enumerated as an "individual" on August 30, 2022.

The provider is located at 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 and the phone number is (505) 272-2111.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.