SUE CRUTCHER (NPI# 1225409907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225409907 |
| Entity Type | Individual |
| Full Name | SUE CRUTCHER |
| Practice Address |
105 Paseo Del Canon W Ste A Taos NM 87571-6943 |
| Practice Telephone | 5757585857 |
| Practice Fax Number | 5757585860 |
| Mailing Telephone | 5757585857 |
| Mailing Fax Number | 5757585860 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN22947 | NM | Nursing Service Providers |
| Street Address |
105 PASEO DEL CANON W STE A |
| City | TAOS |
| State | NM |
| Zip Code | 87571-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760885768 | Antonio Aguilera | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Taos, NM 87571-6943 | 2014-10-03 |
| 1144751991 | Thomas Martinez | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Suite A, Taos, NM 87571-6943 | 2017-03-23 |
| 1326587940 | Betty Segura | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2017-02-15 |
| 1457896706 | Lori-lee Archuleta | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-12-22 |
| 1891246419 | David Martin | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-10-19 |
| 1407306764 | Kristi Nelson | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-10-11 |
| 1881043933 | Christina Romero | Pharmacy Technician | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-06-09 |
| 1770941064 | Shirley Unold | Counselor | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-02-02 |
| 1750748455 | India Macweeney | Social Worker | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2016-01-26 |
| 1215302435 | Elizabeth Gortarez | Case Manager/Care Coordinator | 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 | 2015-12-14 |
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| 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 Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314901 | Caprice Davis | Licensed Practical Nurse | 105 Paseo Del Canon W Ste A, Taos, NM 87571-6943 | 2017-09-08 |
| 1912232521 | Shannon Elizabeth Sandoval | Licensed Practical Nurse | 413 Sipapu Road, # 6952, Taos, NM 87571 | 2009-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864778 | Christina Averhart | Licensed Practical Nurse | 6739 Academy Rd Ne Ste 250, Albuquerque, NM 87109-3357 | 2019-11-06 |
| 1760947402 | Jessica Lynn Bell | Licensed Practical Nurse | 997 Player Loop Se, Rio Rancho, NM 87124-5802 | 2019-02-06 |
| 1104399914 | Shannon Bailey | Licensed Practical Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-03 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1598272965 | Soraida Sanchez | Licensed Practical Nurse | 1227 N Railroad Ave Ste C, Espanola, NM 87532-3159 | 2018-01-06 |
| 1700393766 | Stacy Jaque Vigil | Licensed Practical Nurse | 213 Chico Dr, Las Vegas, NM 87701-9511 | 2017-12-29 |
| 1679018683 | Catherine Manus | Licensed Practical Nurse | Hwy 64 Old High School Road, 1199, Shiprock, NM 87420-1199 | 2016-12-29 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1477943009 | Jeremy Martinez | Licensed Practical Nurse | 208 Guachupangue Rd, Espanola, NM 87532 | 2015-02-04 |
| 1750794426 | Lori Y Rodriguez | Licensed Practical Nurse | 1923 Morris Pl, Santa Fe, NM 87505-5466 | 2014-06-10 |
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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.