Provider Type Icon

HIGH DESERT NEUROLOGY NPI 1487754735


NPI Information

NPI: 1487754735
Provider Name: HIGH DESERT NEUROLOGY
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
4131 BARBARA LOOP SE
SUITE 1-A
RIO RANCHO, NM
ZIP 87124
Phone: (505) 892-8915
Get Directions

HIGH DESERT NEUROLOGY is a neurology with special qualifications in child neurology psychiatry neurology in Rio Rancho, NM. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. HIGH DESERT NEUROLOGY NPI is 1487754735. The provider is registered as an organization entity type.

The provider's business location address is:

4131 BARBARA LOOP SE
SUITE 1-A
RIO RANCHO, NM
ZIP 87124-362
Phone: (505) 892-8915
Fax: (505) 994-3028

The provider's authorized official is Jerry K Williams .
The authorized official title is Principal and has the following contact phone number (505) 892-8915.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 12/30/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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
100NM009T07OTHERNEW MEXICOBCBS
2100521093MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
323432MEDICAIDNEW MEXICO
4C100521093OTHERNEW MEXICOUNITED AMERICAN
55797810001MEDICARE NSCNEW MEXICO
6P00281702MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOPALMETTO GBA
7201047864OTHERNEW MEXICOPHP & SALUD
8NM9999OTHERNEW MEXICOMUTUAL OF OMAHA
9100521093MEDICARE PINNEW MEXICO
10=========OTHERNEW MEXICOTAX ID

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.