JONATHAN REDD (NPI# 1366918963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366918963 |
| Entity Type | Individual |
| Full Name | JONATHAN REDD |
| Practice Address |
1515 W Fir St Portales NM 88130-5703 |
| Mailing Address |
Po Box 843 Portales NM 88130-0843 |
| Practice Telephone | 5753566695 |
| Practice Fax Number | 5753565948 |
| Mailing Telephone | 5753566695 |
| Mailing Fax Number | 5753565948 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53956 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295187052 | Jonathan Redd | Pharmacist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2016-07-05 |
| Street Address |
1515 W FIR ST |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756264 | Guadalupe M Kennedy | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2005-11-02 |
| 1033771647 | Lee Le | Dentist | 1515 W Fir St, Portales, NM 88130-5703 | 2019-07-03 |
| 1386000636 | Michelle Lynn Hawkins | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2015-12-31 |
| 1588048524 | La Casa De Buena Salud Inc | Local Education Agency (LEA) | 1515 W Fir St, Portales, NM 88130-5703 | 2015-07-18 |
| 1124422597 | Teresa Claire Evan | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2014-10-14 |
| 1588912893 | William Jacob Divett | Social Worker | 1515 W Fir St, Portales, NM 88130-5703 | 2012-08-16 |
| 1649535527 | Bhargav Chowdary Paleti | Internal Medicine | 1515 W Fir St, Portales, NM 88130 | 2012-07-07 |
| 1023380615 | Katherine M Thatcher | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2012-01-30 |
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1871693044 | Penny G Sanders | Counselor | 1515 W Fir St, Portales, NM 88130-5703 | 2006-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952392615 | Martha Slemp Thorsen | Nurse Practitioner | 1515 West Fir, Portales, NM 88130 | 2005-11-02 |
| 1386113108 | Jitprapa Mckee | Nurse Practitioner | 42121 Us 70, Portales, NM 88130-9054 | 2018-11-21 |
| 1063999852 | Lindsay Young | Nurse Practitioner | 42121 Us 70, Portales, NM 88130-9054 | 2018-07-24 |
| 1841736915 | Jamie Bassell | Nurse Practitioner | 42121 Us Highway 70, Portales, NM 88130-9054 | 2017-01-13 |
| 1124422597 | Teresa Claire Evan | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2014-10-14 |
| 1720033004 | Laura L Lowrey | Nurse Practitioner | 42121 Us 70, Portales, NM 88130 | 2006-05-24 |
| 1245292242 | Sylvia Anne Rife | Nurse Practitioner | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2006-04-05 |
| 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 |
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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.