MISS SUSAN ANN VELARDE (NPI# 1376685545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376685545 |
Entity Type | Individual |
Full Name | MISS SUSAN ANN VELARDE |
Practice Address |
12000 Stone Lake Drive Dulce NM 87528 |
Mailing Address |
Po Box 804 Dulce NM 87528-0804 |
Practice Telephone | 5057597246 |
Mailing Telephone | 5057597246 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2008-06-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZI1000X |
Specialist/Technologist, Other Specialization: Illustration, Medical |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | MEDICARE PART B | HSZ196 | 01 |
NM | 000K3526 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588069702 | Susan Velarde | Licensed Practical Nurse | 102 N Plumer Ave, Tucson, AZ 85719-5906 | 2014-10-30 |
Street Address |
12000 STONE LAKE DRIVE |
City | DULCE |
State | NM |
Zip Code | 87528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194747279 | Sharon Hope Greacen | Spec/Tech, Pathology | 12000 Stone Lake Drive, Laboratory, Dulce, NM 87528-0187 | 2006-07-24 |
1477628659 | Indian Health Service- Jicarilla Service Unit | Clinical Medical Laboratory | 12000 Stone Lake Drive, Dulce, NM 87528-0187 | 2006-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
1720331697 | Northwest Reional Education Coop #2 | Student in an Organized Health Care Education/Training Program | 91 Hawk Drive, Dulce, NM 87528 | 2012-10-17 |
1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
Find all providers in zip 87528 |
Taxonomy Code | 246ZI1000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Illustration, Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043479330 | E Joan Wilson | Specialist/Technologist, Other | 12000 Stone Lake Road, Dulce, NM 87528 | 2008-06-03 |
Please comment or provide details below to improve the information on MISS SUSAN ANN VELARDE.
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.