FOUR CORNERS MUSCLE AND NERVE CENTER PC (NPI# 1285962357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285962357 |
| Entity Type | Organization |
| Organization Name | FOUR CORNERS MUSCLE AND NERVE CENTER PC |
| Practice Address |
2500 Farmington Ave Farmington NM 87401-4504 |
| Practice Telephone | 5053267246 |
| Practice Fax Number | 5055920063 |
| Mailing Telephone | 5053267246 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | DR. CAMILLE RIVERA (OWNER/DIRECTOR) |
| Authorized Official Telephone | 5053267246 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2500 FARMINGTON AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750342887 | Camille Rivera | Physical Medicine & Rehabilitation | 2500 Farmington Ave, Farmington, NM 87401 | 2006-03-29 |
| 1720317365 | Four Corners Pain Management LLC | Specialist | 2500 Farmington Ave, Farmington, NM 87401 | 2009-12-10 |
| 1679535298 | Thaddeus Alexas Ray | Pain Medicine | 2500 Farmington Ave, Farmington, NM 87401-6002 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1144779836 | Brittany Parker | Specialist | 2205 Ridgecrest Dr, Farmington, NM 87401-3405 | 2016-09-23 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1275956203 | Therese Marie Millis | Specialist | 4600 Rio St, Farmington, NM 87402-4904 | 2014-01-27 |
| 1306100094 | Sarah Kalen | Specialist | 1517 Emma Ln, Farmington, NY 14425-9045 | 2012-06-27 |
| 1578837886 | Tom Burcham | Specialist | 1513 W Columbia St, Farmington, MO 63640-3512 | 2012-03-05 |
| 1306110838 | Stacey L Potter | Specialist | 313 N Monterey Ave, Farmington, NM 87401-6957 | 2012-03-01 |
| 1467720300 | Stettler Medical Monitoring, Lcc | Specialist | 1527 Comptons Pt, Farmington, UT 84025-3942 | 2011-12-07 |
| 1164734331 | Curtis J Tillman Jr. | Specialist | 36818 Brittany Hill Dr, Farmington, MI 48335-2908 | 2010-07-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on FOUR CORNERS MUSCLE AND NERVE CENTER PC.
| 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.