MISS LISA K BUSHNELL


Address: 1393 Weimer Rd, Taos, NM 87571-6253
Phone: 5757588651

MISS LISA K BUSHNELL (NPI# 1174524912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174524912
Entity Type Individual
Full Name MISS LISA K BUSHNELL
Credential C.F.N.P.
Practice Address 1393 Weimer Rd
Taos
NM 87571-6253
Practice Telephone 5757588651
Practice Fax Number 5757587811
Mailing Telephone 5757588651
Mailing Fax Number 5757587811
Enumeration Date 2005-08-02
Last Update Date 2011-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology R54485 NM Allopathic & Osteopathic Physicians
Y 364SP0200X Clinical Nurse Specialist
Specialization: Pediatrics
R54485 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 5670349 05
NM 00051474 05
NM BLUE MEDICARE 00NM006H13 01
CIGNA / LOVELACE 10021342 01
AETNA 7722751 01
MOLINA QMP000003404562 01
BLUE CROSS & BLUE SHIELD NM006H13 01
PRESBYTERIAN 202024643 01

Office Location

Street Address 1393 WEIMER RD
City TAOS
State NM
Zip Code 87571-6253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962190 Debra Beth Singer Pediatrics 1393 Weimer Rd, Taos, NM 87571-6253 2005-06-20
1295285278 Bridget Shea-gander Nurse Practitioner 1393 Weimer Rd, 1393 Weimer Rd, Taos, NM 87571-6253 2016-10-13
1396037396 Sarah Terry Drenning Nurse Practitioner 1393 Weimer Rd, Taos, NM 87571-6253 2011-05-09
1154350205 Taos Clinic for Children and Youth Pediatrics 1393 Weimer Rd, Taos, NM 87571-6253 2006-07-01
1740248756 Sylvia Fernandez Villarreal Pediatrics 1393 Weimer Rd, Taos, NM 87571-6253 2006-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174080923 Veronika Anne Peacetree Counselor Vds-taos, 314 Don Fernando Street, Taos, NM 87571 2019-02-28
1043785603 Lindsey M Schreiber Counselor 412 Sipapu Street, Taos, NM 87571 2018-10-10
1881173698 Mia M Mcmullen Specialist/Technologist Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 2018-08-13
1992225403 Ted Dimond Counselor 525 Salazar Rd, Suite A, Taos, NM 87571 2017-06-26
1467908103 Jacqueline Danielle Arcand Social Worker 250 Shadow Mountain Rd, Taos, NM 87571 2016-09-01
1225487812 James Lucero Social Worker 905 Witt Rd., Taos, NM 87571 2016-06-06
1083098370 Ellen Durant Marriage & Family Therapist 1135 Butterfly Rd, Taos, NM 87571 2015-07-16
1831584192 Eight Northern Indian Pueblos Council, Inc. Community Based Residential Treatment Facility, Mental Illness 1130 Butterfly Rd., Taos, NM 87571 2015-04-03
1790179844 Eight Northern Indian Pueblos Substance Abuse Rehabilitation Facility 1130 Butterfly Road, Taos, NM 87571 2015-03-26
1992106041 Debbie I Salazar, Lisw Ltd Co Community/Behavioral Health 208 Ranchitos Road Unit B, Taos, NM 87571 2014-09-09
Find all providers in zip 87571

Taxonomy Information

Taxonomy Code 364SP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063871176 Eugene Ray Snyder Clinical Nurse Specialist 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 2016-02-17

Competitor

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City TAOS
Zip Code 87571

Improve Information

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Dataset Information

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.

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