LINDA SUE AGNES (NPI# 1275542896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275542896 |
| Entity Type | Individual |
| Full Name | LINDA SUE AGNES |
| Credential | C.F.N.P. |
| Practice Address |
12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9461 |
| Practice Telephone | 5058324434 |
| Practice Fax Number | 5052815320 |
| Mailing Telephone | 5058324434 |
| Mailing Fax Number | 5052815320 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP00072 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R11500 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 10939717 | 05 |
| Street Address |
12127B HWY 14 N STE 5 |
| City | CEDAR CREST |
| State | NM |
| Zip Code | 87008-9461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554149 | Roger Wesley Gildersleeve | Family Medicine | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2006-02-01 |
| 1083212195 | Amanda Torgerson | Registered Nurse | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9557 | 2020-10-12 |
| 1447770698 | Shawn M Mcgee | Nurse Practitioner | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-06-20 |
| 1851828784 | Lauren Montano | Physician Assistant | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-05-23 |
| 1811424674 | Placitas Mountain Medical, Inc. | Family Medicine | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090342 | Rio Grande Emdr Therapy, LLC | Community/Behavioral Health | 6 Sierra Vista Drive, Cedar Crest, NM 87008 | 2020-10-15 |
| 1487973145 | Phoenix Helm Simpson | Marriage & Family Therapist | 10 Haven Dr., Cedar Crest, NM 87008 | 2010-05-20 |
| 1548404825 | Amir H. Manoutchehri M.d. PC | Clinic/Center | 12125 State Highway 14 N., Cedar Crest, NM 87008 | 2009-04-30 |
| 1649412321 | Justin Andrew Kan | Emergency Medicine | 50 Calyx Ln, Cedar Crest, NM 87008 | 2009-03-27 |
| 1316184831 | Monique Y Keulen-nolet | Nurse Practitioner | 12127b North Highway 14, Suite #5, Cedar Crest, NM 87008 | 2009-01-21 |
| 1023141215 | Jana R. Covell | Physical Therapist | 12127 B3 N. Hwy 14, Cedar Crest, NM 87008 | 2007-03-14 |
| 1124156815 | Villa Santa Maria | Residential Treatment Facility, Emotionally Disturbed Children | 19 Cirquela Rd, Cedar Crest, NM 87008 | 2007-03-02 |
| 1083740971 | Amy Beth Marie Miller | Physical Therapist | 12127 B-3 North Highway 14, Cedar Crest, NM 87008 | 2007-02-26 |
| 1215019237 | Cedar Crest Vision LLC | Optometrist | 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 | 2006-10-19 |
| 1972519759 | Orrin Kent Mcleod | Family Medicine | 12127b N Hwy 14, Suite 5, Cedar Crest, NM 87008 | 2006-07-31 |
| Find all providers in zip 87008 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588189690 | Kathy Onsurez Wilson | Nurse Practitioner | 12127b Highway 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-08-09 |
| 1356899355 | Kathy Wolf | Nurse Practitioner | 12127 State Highway 14 N, #b, Cedar Crest, NM 87008-9461 | 2016-09-19 |
| 1700114543 | Lynnette Ruth Ousley | Nurse Practitioner | 12127 Hwy 14 N Ste 5b, Cedar Crest, NM 87008-9461 | 2009-12-04 |
| 1316184831 | Monique Y Keulen-nolet | Nurse Practitioner | 12127b North Highway 14, Suite #5, Cedar Crest, NM 87008 | 2009-01-21 |
| 1447770698 | Shawn M Mcgee | Nurse Practitioner | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CREST |
| Zip Code | 87008 |
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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.