DR. LAUREN ELYSE WALTERSDORF (NPI# 1295091007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295091007 |
| Entity Type | Individual |
| Full Name | DR. LAUREN ELYSE WALTERSDORF |
| Practice Address |
1035 Alto St Santa Fe NM 87501-2406 |
| Mailing Address |
1218 Euclid St Nw Washington DC 20009-5330 |
| Practice Telephone | 5059824425 |
| Practice Fax Number | 5059828440 |
| Mailing Telephone | (248) 709-1071 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2015-0076 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 12435287 | 05 |
| Street Address |
1035 ALTO ST |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279266 | Bridget Cornell Andrew | Physician Assistant | 1035 Alto St, La Familia Medical Center, Santa Fe, NM 87501-2406 | 2005-07-15 |
| 1679009666 | Bethany Richards | Family Medicine | 1035 Alto St, Santa Fe, NM 87501-2406 | 2017-05-11 |
| 1588106363 | Kimberly M Lopez | Nurse Practitioner | 1035 Alto St, Santa Fe, NM 87501-2406 | 2016-11-10 |
| 1841661220 | Sue E Minturn | Health Educator | 1035 Alto St, Santa Fe, NM 87501-2406 | 2015-10-12 |
| 1477922409 | La Familia Medical Center | Clinic/Center | 1035 Alto St, Santa Fe, NM 87501-2406 | 2015-09-21 |
| 1710384383 | La Familia Medical Center | Clinic/Center | 1035 Alto St, Santa Fe, NM 87501-2406 | 2014-11-26 |
| 1245641836 | Susan Frances Griggs | Nurse Practitioner | 1035 Alto St, Santa Fe, NM 87501-2406 | 2014-05-16 |
| 1376986620 | Paula A Summar | Counselor | 1035 Alto St, Santa Fe, NM 87501-2406 | 2013-04-16 |
| 1700162344 | Laura M Mccann | Dietitian, Registered | 1035 Alto St, Santa Fe, NM 87501-2406 | 2011-10-27 |
| 1457630618 | Carolina Cuellar | Registered Nurse | 1035 Alto St, Santa Fe, NM 87501-2406 | 2011-08-05 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053947408 | Optimal Wellness Journey | Family Medicine | 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 | 2020-03-18 |
| 1336620053 | Patricia Ann Woodall | Family Medicine | 66 Apache Plume Dr, Santa Fe, NM 87508-9384 | 2018-08-22 |
| 1417201732 | Niki Hodges | Family Medicine | 14310 Highway 6, Santa Fe, TX 77517-3421 | 2012-11-08 |
| 1891055281 | William Mccormick Bowen | Family Medicine | 5501 Herrera Dr Suite B, Christus St. Vincent Urgent Care Entrada Contenta, Santa Fe, NM 87507-2677 | 2012-05-21 |
| 1245597970 | Thomas William Longley | Family Medicine | 454 St. Michaels Drive, Santa Fe, NM 87505 | 2012-04-19 |
| 1215203385 | Joseph M Molina Md Professional Corporation-southern California Molina | Family Medicine | 1714 St. Michaels Drive, Suite #1, Santa Fe, NM 87505-6059 | 2012-03-22 |
| 1255625687 | Eric Grasser Md LLC | Family Medicine | 1925 Aspen Dr Ste 502a, Santa Fe, NM 87505-5559 | 2011-06-02 |
| 1740570175 | Stephanie V Lucero | Family Medicine | 1713 Nm 502, Santa Fe, NM 87506-8931 | 2011-04-19 |
| 1285946947 | Abbas Khoshdel | Family Medicine | 799 Camino Francisca, Santa Fe, NM 87506-6100 | 2010-07-10 |
| 1861652083 | Maria Ramirez-atamoros | Family Medicine | 431 Saint Michaels Dr Ste B, Suite B, Santa Fe, NM 87505-8606 | 2008-06-11 |
| 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.