ELIZABETH HARTSHORN (NPI# 1134575962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134575962 |
| Entity Type | Individual |
| Full Name | ELIZABETH HARTSHORN |
| Practice Address |
330 Holguin Rd Vado NM 88072-7220 |
| Practice Telephone | 5752335004 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R42575 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770622904 | Elizabeth R Hartshorn | Counselor | 161 High St Se Ste 222, Salem, OR 97301-3621 | 2007-02-05 |
| Street Address |
330 HOLGUIN RD |
| City | VADO |
| State | NM |
| Zip Code | 88072-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447809108 | Teresa R Marquez | Speech-Language Pathologist | 330 Holguin Rd, Vado, NM 88072-7220 | 2019-09-05 |
| 1194229369 | Vanessa R Torres | Registered Nurse | 330 Holguin Rd, Vado, NM 88072-7220 | 2018-03-21 |
| 1952850307 | Ivonne Olson Penuela | Speech-Language Pathologist | 330 Holguin Rd, Vado, NM 88072-7220 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981868 | Maira A Gaytan Ortega | Behavior Technician | 222 Swannack Rd, Vado, NM 88072 | 2018-11-21 |
| 1972014793 | A Safe Haven | Community/Behavioral Health | 16201 Las Alturas Dr Spc 5, Vado, NM 88072-7217 | 2017-10-19 |
| 1104159466 | Patrick Harry Stafford | Counselor | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2009-09-17 |
| 1679113021 | Lactation Consutant On The Go LLC | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2020-01-14 |
| 1982253902 | Deborah Stafford | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981868 | Maira A Gaytan Ortega | Behavior Technician | 222 Swannack Rd, Vado, NM 88072 | 2018-11-21 |
| 1972014793 | A Safe Haven | Community/Behavioral Health | 16201 Las Alturas Dr Spc 5, Vado, NM 88072-7217 | 2017-10-19 |
| 1104159466 | Patrick Harry Stafford | Counselor | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2009-09-17 |
| 1679113021 | Lactation Consutant On The Go LLC | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2020-01-14 |
| 1982253902 | Deborah Stafford | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2019-09-11 |
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194229369 | Vanessa R Torres | Registered Nurse | 330 Holguin Rd, Vado, NM 88072-7220 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702901 | Charlotte Carter | Registered Nurse | 7th and Elm St, San Jon, NM 88434 | 2020-08-28 |
| 1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
| 1366052987 | Katrina Reyes | Registered Nurse | 9 Basalt Dr, Silver City, NM 88061-8961 | 2020-08-07 |
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1962012096 | Donna Lee Rodarte | Registered Nurse | 4th Street & Parque Ave, Maxwell, NM 87728 | 2020-08-04 |
| 1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1124677232 | Sunni Rhea Osborn | Registered Nurse | 309 N. Apple, House, NM 88121-0673 | 2019-09-11 |
| 1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
| 1265087886 | Sheena Danielle Zemke | Registered Nurse | 2 Albert Ln, Los Lunas, NM 87031-7604 | 2019-08-09 |
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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.