DOROTHY WHITAKER (NPI# 1386644052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386644052 |
| Entity Type | Individual |
| Full Name | DOROTHY WHITAKER |
| Credential | CRNA |
| Practice Address |
516 East Nizhoni Blvd. Gallup NM 87301-1337 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221421 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221421 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2014-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R067660 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 401790100 | 05 |
| Street Address |
516 EAST NIZHONI BLVD. |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932516333 | Patricia Pate | Nurse Practitioner | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2014-07-17 |
| 1013273325 | Maxine Rose Horton | Nurse Practitioner | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2012-04-11 |
| 1710289723 | Jordan Clifford Burnett | Physical Therapist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2010-11-23 |
| 1881907889 | Sheryl Bahe Livingston | Counselor | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2010-07-19 |
| 1366673113 | Matthew Dennis Jones | Psychologist | 516 East Nizhoni Blvd., Gallup, NM 87301 | 2009-07-28 |
| 1134361785 | Jennifer Nadine Jaggi | Obstetrics & Gynecology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2009-03-28 |
| 1558515940 | David Benjamin Good II | Registered Nurse | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-11-11 |
| 1689839482 | Kadallah Zizwee Brandy | Internal Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-07-22 |
| 1013184654 | Juan Pablo Rossini | Anesthesiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-05-13 |
| 1821275819 | Keea M Wesley | Pediatrics | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| 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 |
|---|---|---|---|---|
| 1679604342 | Julie R Bussewitz | Specialist | 700 S Boardman Ave, Gallup, NM 87301-4707 | 2007-03-07 |
| 1780604587 | Donald L Horney, Md, PC | Specialist | 1332 S Country Club Dr, Gallup, NM 87301-5665 | 2006-07-21 |
| 1497713408 | Myriam Allen | Specialist | 1000 E.aztec Ave, Gallup, NM 87301 | 2006-05-02 |
| 1942278494 | Dixie K. Dunn | Specialist | 1000 E Aztec Ave, Gallup, NM 87301-5509 | 2006-03-10 |
| 1356347348 | Francisca V. Lytle | Specialist | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-06-23 |
| 1366432296 | Mark Deane Hopkins | Specialist | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2005-10-22 |
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|---|---|---|---|---|
| 1417504168 | Beautiful Transitions Consulting | Specialist | 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 | 2019-08-19 |
| 1407412273 | Victoria Valencia | Specialist | 1005 21st St Se Ste 9, Rio Rancho, NM 87124-4030 | 2019-05-16 |
| 1083199301 | Kristen Diferdinando | Specialist | 203 Ledoux St, Taos, NM 87571-7008 | 2018-10-02 |
| 1417452699 | Ageplan Institute | Specialist | 274 Fairview Ave, Raton, NM 87740-3523 | 2018-03-28 |
| 1295246098 | Quality Life Services, LLC | Specialist | 4212 Hermia Ct, Las Cruces, NM 88011-0918 | 2017-10-19 |
| 1952840191 | Odely Ortiz-vega | Specialist | 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 | 2017-02-21 |
| 1417407842 | Annette Sobel | Specialist | 7 Engelbrecht Lane, Tijeras, NM 87059 | 2016-10-10 |
| 1144779836 | Brittany Parker | Specialist | 2205 Ridgecrest Dr, Farmington, NM 87401-3405 | 2016-09-23 |
| 1669824652 | Jeanette Marie Deanda | Specialist | 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 | 2016-07-01 |
| 1669828687 | Debra Wilcox | Specialist | 1009 Mechem Dr Ste 5, Ruidoso, NM 88345-7060 | 2016-05-09 |
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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.