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VANESSA D LICONA SANJUAN MD NPI 1386958825


NPI Information

NPI: 1386958825
Provider Name: VANESSA D LICONA SANJUAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
500 WALTER ST NE
STE 401
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 727-5910
Get Directions

Vanessa D Licona Sanjuan, MD is a neurology psychiatry neurology in Albuquerque, NM with 21 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Vanessa D Licona Sanjuan, MD NPI is 1386958825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 WALTER ST NE
STE 401
ALBUQUERQUE, NM
ZIP 87102-563
Phone: (505) 727-5910
Fax: (505) 727-5939

The NPI 1386958825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Nerve transmission studies, 7-8 studies (HCPCS:95910)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 7/26/2010 and was last updated on 4/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22084N0400XPsychiatry & NeurologyNeurologyMD2012-0867NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1376728YR41MEDICARE PINNEW MEXICO
298305522MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.