MEDICARE: MS. SARAH CASSANDRA HEREDIA APRN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	85092	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85092	OTHER	NM	LICENSURE

General Provider Information

NPI Number	:	1699380642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH CASSANDRA HEREDIA APRN-CNP

Provider Business Mailing Address
First Line	:	1350 JACKIE ROAD SE
Second Line	:	SUITE 104
City	:	RIO RANCHO
State	:	NM
Zip	:	87124
Country	:	US
Telephone Number	:	505-515-3982
Fax Number	:	505-792-6060

Provider Business Practice Location Address
First Line	:	3901 GEORGIA STREET
Second Line	:	SUITE C-1
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110
Country	:	US
Telephone Number	:	505-515-3982
Fax Number	:	505-792-6060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2020
Last Update Date	:	12/30/2025

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1114883790 — HUI HSIA CHOU
Practice Location Address:

2923 SAN MATEO BLVD NE STE A
ALBUQUERQUE, NM
87110-3168

Practice Phone: 505-504-9619
Practice Fax:

1073361341 — OASIS WELLNESS LLC
Practice Location Address:

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
87110-7845

Practice Phone: 505-400-0978
Practice Fax:

1952053738 — NADINE JENSON
Practice Location Address:

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
87110-7845

Practice Phone: 505-400-0978
Practice Fax:

1871459842 — ERIKA AROLINDA TARANGO
Practice Location Address:

4775 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM
87110-3973

Practice Phone: 505-584-0043
Practice Fax:

1992667281 — DESTINEE FLORES
Practice Location Address:

1209 MOUNTAIN ROAD PL NE
ALBUQUERQUE, NM
87110-7845

Practice Phone: 505-933-6159
Practice Fax:

Directions to “ MS. SARAH CASSANDRA HEREDIA APRN-CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.