VDEX DIABETES NM-BROWN (NPI# 1144717075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144717075 |
| Entity Type | Organization |
| Organization Name | VDEX DIABETES NM-BROWN |
| Practice Address |
1811 N Riverside Dr Ste C Espanola NM 87532-9550 |
| Practice Telephone | 5057470506 |
| Practice Fax Number | 5057470507 |
| Mailing Telephone | 5057470506 |
| Mailing Fax Number | 5057470507 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | STEPHANIE SHARON BROWN (PROVIDER) |
| Authorized Official Telephone | 3034838967 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1811 N RIVERSIDE DR STE C |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-9550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| 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 |
|---|---|---|---|---|
| 1417514712 | Kathy Lynn Wirz | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-05-22 |
| 1184749970 | Jonathan C Peachey | Nurse Practitioner | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2007-03-20 |
| 1124112511 | Augustina A Abbott | Nurse Practitioner | 1010 Spruce St, Pmg Clinic, Espanola, NM 87532-2724 | 2006-10-03 |
| 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 |
| 1447899463 | Brenda Lee Fuselier | Nurse Practitioner | 530 S Roosevelt Road V, Portales, NM 88130-9121 | 2019-12-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.