MS. MICHELLE RENEE LUCERO (NPI# 1194023671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194023671 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE RENEE LUCERO |
| Credential | PA-C |
| Practice Address |
100 Deputy Dean Miera Dr Sw Albuquerque NM 87151-0100 |
| Practice Telephone | 5058398826 |
| Practice Fax Number | 5058398760 |
| Mailing Telephone | 5058398826 |
| Mailing Fax Number | 5058398760 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2012-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2000PA27 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699024422 | Michelle Enid Lucero | Counselor | 1011 Washington Ave, Bronx, NY 10456-6619 | 2012-09-07 |
| 1407113590 | Michelle Lee Lucero | Licensed Practical Nurse | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2012-04-13 |
| Street Address |
100 DEPUTY DEAN MIERA DR SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87151-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346719440 | Janice Alta Juan | Social Worker | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2018-11-19 |
| 1760951925 | James Andrew Cooper | Counselor | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2018-11-17 |
| 1598015356 | Recovery Services of New Mexico Mdc | Clinic/Center | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1780663534 | Robert Otto Krammer | Registered Nurse | 500 Shelly Rd., Albuquerque, NM 87151-0001 | 2006-01-11 |
| 1356332852 | Walter Kerry Viers | Registered Nurse | 500 Shelly Rd. S.w., Albuquerque, NM 87151-0001 | 2005-11-03 |
| 1447249644 | Kenneth Wayne Lovelett Jr. | Counselor | 2600 Marble, Albuquerque, NM 87151-0001 | 2005-10-19 |
| 1336120245 | Marian Margaret Mesojedic | Registered Nurse | 2600 Marble Ne, Albuquerque, NM 87151-0001 | 2005-11-08 |
| 1326029240 | Providence Musomandera Botne | Registered Nurse | 2600 Marble, Albuquerque, NM 87151-0001 | 2005-11-08 |
| 1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
| 1538140330 | Andrea Yvonne Sutphin | Registered Nurse | 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 | 2005-11-09 |
| 1275843781 | Jon-paul Hamilton | Psychiatry & Neurology | 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 | 2010-10-18 |
| 1154637767 | Correctional Healthcare Companies | Dentist | 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 | 2010-08-20 |
| Find all providers in zip 87151 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87151 |
Please comment or provide details below to improve the information on MS. MICHELLE RENEE LUCERO.
| 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.