MELANIE FAYE CRUISE (NPI# 1255317111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255317111 |
Entity Type | Individual |
Full Name | MELANIE FAYE CRUISE |
Credential | RT R R |
Practice Address |
Us Hwy 491 North Shiprock NM 87420 |
Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
Practice Telephone | 5053686020 |
Practice Fax Number | 5053686431 |
Mailing Telephone | 5053686020 |
Mailing Fax Number | 5053686431 |
Enumeration Date | 2005-12-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
273539 | NM | Technologists, Technicians & Other Technical Service Providers |
X | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
273539 | NM | Technologists, Technicians & Other Technical Service Providers |
Street Address |
US HWY 491 NORTH |
City | SHIPROCK |
State | NM |
Zip Code | 87420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285636191 | Jason Boyd Girouard | Nurse Anesthetist, Certified Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2005-08-10 |
1215550843 | Kaitlin A Philipsen | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2020-05-18 |
1417517533 | Ethan Fahrney | Occupational Therapist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-20 |
1124687884 | Kia Yang | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-06 |
1700346095 | Laura Bodnar | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-03-22 |
1275006116 | Billie Don Evans IIi | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-01-03 |
1093287609 | Ivan Teodoro Chia | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2018-12-20 |
1467944041 | Elysia Ison | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-05-31 |
1407343809 | Pamela Bryan | Social Worker | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-20 |
1164919304 | Jerren Michael Alcalde | Dentist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
Find all providers in zip 87420 |
Taxonomy Code | 2471C3402X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730259805 | New Mexico Sonographics Inc | Radiologic Technologist | 4600 A Montgomery Ne, Ste 105, Albuquerque, NM 87109-1292 | 2006-11-08 |
1629152764 | Allen Michael Frey | Radiologic Technologist | Jicarilla Apache Health Care Center, 12000 Stone Lake Road, Dulce, NM 87528 | 2006-10-25 |
1861052177 | April Montano | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2019-06-18 |
1023411741 | Anita Torrez | Radiologic Technologist | 311 Los Lentes Rd Se, Los Lunas, NM 87031-9224 | 2014-10-08 |
1871996595 | Johnny Ray Crain Jr. | Radiologic Technologist | 311 Los Lentes Rd Se, Los Lunas, NM 87031-9224 | 2014-10-08 |
1912257643 | Nicole G. Sers | Radiologic Technologist | 1515 Eubank Se, Albuquerque, NM 87123 | 2012-09-10 |
1871842955 | Toni Faye Kirby | Radiologic Technologist | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-09-05 |
1225386287 | Robert P Delao | Radiologic Technologist | 1515 Eubank Blvd Se, Bld. 831/832, Albuquerque, NM 87123-3453 | 2012-08-24 |
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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.