MS. CRISTY H WICKMAN (NPI# 1265478622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265478622 |
| Entity Type | Individual |
| Full Name | MS. CRISTY H WICKMAN |
| Credential | CFNP |
| Practice Address |
901 W Alameda St Suite 25 Santa Fe NM 87501-1673 |
| Practice Telephone | 5059888869 |
| Practice Fax Number | 5059826298 |
| Mailing Telephone | 5059888869 |
| Mailing Fax Number | 5059827321 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NM48727 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 W ALAMEDA ST SUITE 25 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811958150 | Kenneth Stewart | Emergency Medicine | 901 W Alameda St, 25, Santa Fe, NM 87501-1681 | 2006-03-28 |
| 1144873993 | Christine Amalia Varga | Nurse Practitioner | 901 W Alameda St, Santa Fe, NM 87501-1681 | 2019-07-22 |
| 1609336460 | Southwest Care Center | Pharmacy | 901 W Alameda St, Santa Fe, NM 87501-1681 | 2019-03-20 |
| 1952774796 | Southwest Care Center | Clinic/Center | 901 W Alameda St, Suite 25, Santa Fe, NM 87501-1681 | 2015-11-02 |
| 1104160431 | John Heinrich Reiser | Counselor | 901 W Alameda St, Santa Fe, NM 87501-1681 | 2012-11-27 |
| 1457384695 | Justina A Trott | Internal Medicine | 901 W Alameda St, Suite 25, Santa Fe, NM 87501-1681 | 2006-07-09 |
| 1053342659 | Carolyn Tjoland | Counselor | 901 W Alameda St, Suite 25, Santa Fe, NM 87501-1681 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| 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 |
|---|---|---|---|---|
| 1356836647 | Olivia Kimble | Nurse Practitioner | 4129 S Meadows Rd Apt 424, Santa Fe, NM 87507-3066 | 2018-06-28 |
| 1518469295 | Cheryl Ann Becker | Nurse Practitioner | 490a W Zia Rd Ste 260, Santa Fe, NM 87505-6996 | 2018-03-08 |
| 1669861506 | Svelte LLC | Nurse Practitioner | 1300 Luisa St Ste 3b, Santa Fe, NM 87505-4177 | 2015-01-15 |
| 1649537978 | St Johns College Health Center | Nurse Practitioner | 1160 Camino Cruz Blanca, Santa Fe, NM 87505-4599 | 2012-04-11 |
| 1871661223 | Amy Beth Robbins | Nurse Practitioner | 454 St Michaels Drive, Pmg St Michaels, Santa Fe, NM 87505 | 2006-12-02 |
| 1033187802 | Jacquelyn Belinsky | Nurse Practitioner | 2025 Galisteo St, Santa Fe, NM 87505-2101 | 2006-03-09 |
| 1659349298 | Mary Ellen Lopez | Nurse Practitioner | 531 Harkle Rd Ste B, Santa Fe, NM 87505-4753 | 2006-03-09 |
| 1548247513 | Martha V Ludwick | Nurse Practitioner | 2015 Galisteo St, Santa Fe, NM 87505-2101 | 2005-12-29 |
| 1356986947 | Alyssa Stramel | Nurse Practitioner | 1421 Luisa St Ste I, Santa Fe, NM 87505-4073 | 2019-11-07 |
| 1629553011 | Rebecca J Wilson | Nurse Practitioner | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2018-10-01 |
| Find all providers in SANTA FE | ||||
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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.