HEAVENLY HEALTH INC (NPI# 1427118926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427118926 |
| Entity Type | Organization |
| Organization Name | HEAVENLY HEALTH INC |
| Other Organization Name | HEAVENLY HEALTH FNP |
| Practice Address |
308 East Hill Avenue Gallup NM 87301 |
| Practice Telephone | 5057226770 |
| Practice Fax Number | 5057226799 |
| Mailing Telephone | 5057226770 |
| Mailing Fax Number | 5057226799 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | GEORGES DUVAL (VICE PRESIDENT) |
| Authorized Official Telephone | 5057226770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | S9269 | 05 |
| Other Name | Type Code |
|---|---|
| HEAVENLY HEALTH FNP | Doing Business As Name - Organization |
| Street Address |
308 EAST HILL AVENUE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301 |
| 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 | 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 |
|---|---|---|---|---|
| 1598186538 | Dan Vanderiet | Family Medicine | 2401 Mariyana St, Gallup, NM 87301-5635 | 2013-12-17 |
| 1700010139 | Eunice Annazbah Muskett | Family Medicine | 520 Highway 564, Gallup Va Cboc, Gallup, NM 87301 | 2009-05-13 |
| 1841458049 | Laura Hammons | Family Medicine | 2022 E Aztec Ave, Gallup, NM 87301-4804 | 2008-05-26 |
| 1316135510 | David Mckenzie Md PC | Family Medicine | 1808 E Aztec Ave Ste 6, Gallup, NM 87301-4946 | 2007-10-12 |
| 1164435673 | Aedra D. Wenger Andrade | Family Medicine | 610 N 5th St, Gallup, NM 87301-5306 | 2006-08-14 |
| 1245288687 | David C Mckenzie | Family Medicine | 1808 E Aztec, Ste 6, Gallup, NM 87301 | 2006-05-05 |
| 1619955176 | Lawrence Andrade | Family Medicine | 517 Nizhoni Blvd, Gallup, NM 87301-5757 | 2006-01-05 |
| 1144750472 | Margot Albert | Family Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-06-19 |
| 1144635749 | Caroline Mogler | Family Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-06-23 |
| 1083049357 | Anna Evelyn Rogers | Family Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2013-09-05 |
| Find all providers in GALLUP | ||||
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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.