KATHERINE M THATCHER (NPI# 1023380615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023380615 |
| Entity Type | Individual |
| Full Name | KATHERINE M THATCHER |
| Credential | CNP |
| Practice Address |
1515 W Fir St Portales NM 88130-5703 |
| Mailing Address |
1511 S Grand Ave Roswell NM 88203-5407 |
| Practice Telephone | 5753566695 |
| Practice Fax Number | 5753565948 |
| Mailing Telephone | 5756233255 |
| Mailing Fax Number | 5756259901 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP01930 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 W FIR ST |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756264 | Guadalupe M Kennedy | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2005-11-02 |
| 1033771647 | Lee Le | Dentist | 1515 W Fir St, Portales, NM 88130-5703 | 2019-07-03 |
| 1366918963 | Jonathan Redd | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2018-10-22 |
| 1386000636 | Michelle Lynn Hawkins | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2015-12-31 |
| 1588048524 | La Casa De Buena Salud Inc | Local Education Agency (LEA) | 1515 W Fir St, Portales, NM 88130-5703 | 2015-07-18 |
| 1124422597 | Teresa Claire Evan | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2014-10-14 |
| 1588912893 | William Jacob Divett | Social Worker | 1515 W Fir St, Portales, NM 88130-5703 | 2012-08-16 |
| 1649535527 | Bhargav Chowdary Paleti | Internal Medicine | 1515 W Fir St, Portales, NM 88130 | 2012-07-07 |
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1871693044 | Penny G Sanders | Counselor | 1515 W Fir St, Portales, NM 88130-5703 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899463 | Brenda Lee Fuselier | Nurse Practitioner | 530 S Roosevelt Road V, Portales, NM 88130-9121 | 2019-12-23 |
| 1598756264 | Guadalupe M Kennedy | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2005-11-02 |
| 1225494800 | David Louis Womble | Nurse Practitioner | 1515 West Fir, Portales, NM 88130 | 2016-01-12 |
| 1386871218 | New Mexico Em-i Medical Services, PC | Nurse Practitioner | 42121 Us Hwy 70, Portales, NM 88130-0868 | 2009-06-18 |
| 1144350844 | Eva F Toelle | Nurse Practitioner | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2007-03-06 |
| 1770683278 | Charlene G Beck | Nurse Practitioner | 42121 Us Highway 70, Portales, NM 88130 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790742 | Marisa Moses | Nurse Practitioner | 301 Doe Ct Ne, Rio Rancho, NM 87124-2577 | 2020-08-13 |
| 1720606882 | Mountain Desert Health LLC | Nurse Practitioner | 2200 Panola St Sw, Albuquerque, NM 87121-2582 | 2020-07-06 |
| 1851915961 | Jennifer Leandra Alterson | Nurse Practitioner | 1111 10th St # 469, Alamogordo, NM 88310-6413 | 2020-06-04 |
| 1912538844 | Lorine Derusha | Nurse Practitioner | 625 Silver Ave Sw Fl 2, Albuquerque, NM 87102-3123 | 2020-01-29 |
| 1295374247 | Thomas William Cox | Nurse Practitioner | 12812 Constitution Ave Ne Apt 2, Albuquerque, NM 87112-6142 | 2019-12-21 |
| 1730720632 | Carmen Caterina Marcolina | Nurse Practitioner | 4201 Central Ave Nw # 3, Albuquerque, NM 87105-1630 | 2019-10-01 |
| 1528617446 | Nm Stem Cell, LLC | Nurse Practitioner | 4111 Barbara Loop Se # C-2, Rio Rancho, NM 87124-1068 | 2019-09-04 |
| 1851955488 | Vanessa Marie Tapia | Nurse Practitioner | 4365 Malaga St, Las Cruces, NM 88011-4341 | 2019-04-29 |
| 1700349834 | Heather Marie Pink | Nurse Practitioner | 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 | 2019-04-06 |
| 1265994107 | Justine Brittany Carmichael | Nurse Practitioner | 1034 N Spring St, Carlsbad, NM 88220-5150 | 2019-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.