ROSE MARIE SAMUEL (NPI# 1073096582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073096582 |
| Entity Type | Individual |
| Full Name | ROSE MARIE SAMUEL |
| Practice Address |
Gallup Indian Medical Center 516 East Nizhoni Blvd Gallup NM 87305 |
| Mailing Address |
370 Nth 9th Street Lebanon PA 17046 |
| Practice Telephone | 7172228617 |
| Mailing Telephone | 7172228617 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
660697 | PA | Nursing Service Providers |
| Street Address |
GALLUP INDIAN MEDICAL CENTER 516 EAST NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497245146 | Stephenie Nicole Thomas | Registered Nurse | Gallup Indian Medical Center, 516 E. Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716972 | Gallup Detox Recovery Center | Psychologist | 2105 Hasler Valley Rd, Gallup, NM 87305 | 2020-10-05 |
| 1922596923 | Trinity Home Care LLC | In Home Supportive Care | 1608 #b State Highway 264, Tse Bonito, NM 87305 | 2018-04-25 |
| 1467787911 | Jennie Wei | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87305-1337 | 2009-10-15 |
| 1972785962 | Department of Behavioral Health Services | Counselor | 911 College Drive, Building F-room 12, Gallup, NM 87305-3729 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720998 | Yolanda Arroyo-fontanez | Registered Nurse | 900 Boardman Dr Apt I89, Gallup, NM 87301-4748 | 2020-11-06 |
| 1720689136 | Garrett Vanderwater | Registered Nurse | 1808 W Aztec Ave, Gallup, NM 87301-6780 | 2020-11-03 |
| 1871192377 | Surgery Management Group LLC | Anesthesiology | 1808 E Aztec Ave Ste 2, Gallup, NM 87301-4946 | 2020-10-26 |
| 1609475250 | Breanna Chavez | Behavior Technician | 1302 Country Club Pl, Gallup, NM 87301-4949 | 2020-10-23 |
| 1972117661 | Jose Luis Guzman Jr. | Dietitian, Registered | 947 Cerrito Dr Apt A, Gallup, NM 87301-5421 | 2020-09-01 |
| 1962020180 | Beatrice Tucker | Social Worker | 220 E Nizhoni Blvd Apt 10, Gallup, NM 87301-7111 | 2020-07-14 |
| 1073138244 | Gallup Health Cooperative | Clinic/Center | 600 E Coal Ave, Gallup, NM 87301-6006 | 2020-06-12 |
| 1134744980 | Verna Jean Thomas | Case Manager/Care Coordinator | 2318 Boyd Ave, Gallup, NM 87301-4888 | 2020-06-08 |
| 1750904074 | Kimberly L Bakker | Physical Therapist | 510 W Maloney Ave Ste C, Gallup, NM 87301-5489 | 2020-05-20 |
| 1366064446 | Darryl Benally | Counselor | 1040 Patton Dr, Gallup, NM 87301-7425 | 2020-05-12 |
| Find all providers in GALLUP | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497245146 | Stephenie Nicole Thomas | Registered Nurse | Gallup Indian Medical Center, 516 E. Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-05-17 |
| 1013251842 | Vicky Gail Dowdy | Registered Nurse | 3197 Blue Hill Ave, Gallup, NM 87301-6969 | 2012-11-16 |
| 1780283416 | John Robert Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1366041006 | Tracy Michelle Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1679188676 | Jordan Ashley Ide | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-09-15 |
| 1669085957 | Mary Eloise Martin | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-08-26 |
| 1407468804 | Lori Ann Howard | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-08-18 |
| 1306464284 | Lavada King | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-08 |
| 1184242133 | Mary Elizabeth Bange | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-07 |
| 1952928806 | Gabrielle Ariana Charleston | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-06-26 |
| Find all providers in GALLUP | ||||
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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.