NIKI MANOLE NINOPOULOS PA-C NPI 1134604978

NPI Information

NPI: 1134604978
Provider Name: NIKI MANOLE NINOPOULOS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: RIO GRANDE DERMATOLOGY, PC

PECOS Registration: Yes

Address:
3901 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 254-6100
Get Directions

Niki Manole Ninopoulos, PA-C is a medical physician assistant in Albuquerque, NM with 6 years of experience. Niki Manole Ninopoulos, PA-C NPI is 1134604978. 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:

3901 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87107-503
Phone: (505) 254-6100
Fax: (505) 546-5322

The NPI 1134604978 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 enumeration date for this NPI number is 9/27/2018 and was last updated on 12/17/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207N00000X	Dermatology		PA2018-0074	NEW MEXICO	No
2	363AM0700X	Physician Assistant	Medical		NEW MEXICO	No
3	363AM0700X	Physician Assistant	Medical	PA2018-0074	NEW MEXICO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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