CAROLYN DIANE P. MOURAD (NPI# 1427288968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427288968 |
| Entity Type | Individual |
| Full Name | CAROLYN DIANE P. MOURAD |
| Credential | RN |
| Practice Address |
1976 Corta Rustica Rd Los Lunas NM 87031-7507 |
| Practice Telephone | 5058659842 |
| Mailing Telephone | 5058659842 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2011-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
R26250 | NM | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | REGISTERED NURSE, NEW MEXICO LICENSE | R26250 | 01 |
| NM | RN LICENSE | R26250 | 01 |
| Street Address |
1976 CORTA RUSTICA RD |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011581 | Paige Lewis | Registered Nurse | 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031-6818 | 2016-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036792 | Gina Marie Ruiz | Registered Nurse | 3777 Highway 528 Ne, Rio Rancho, NM 87144-7650 | 2019-07-29 |
| 1285122663 | Sabine Price | Registered Nurse | 8300 Constitution Pl Ne, Albuquerque, NM 87110-7637 | 2018-05-01 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1639619158 | Mary Ann Sedoskey | Registered Nurse | 1911 College Dr, Gallup, NM 87301-7010 | 2017-03-02 |
| 1881060903 | Jaime Brown | Registered Nurse | 2400 Unser Blvd. Se, Rio Rancho, NM 87124 | 2015-08-12 |
| 1902217466 | Ruth Chow | Registered Nurse | 5105 Glenwood Pointe Ln Ne, Albuquerque, NM 87111-2976 | 2014-05-17 |
| 1841529013 | Sherry Renea Wall | Registered Nurse | 1090 Goat Spring Road, Taos, NM 87571 | 2009-12-16 |
| 1245462100 | Gloria Fajardo | Registered Nurse | 909 Perry Meadows Dr Ne, Rio Rancho, NM 87144-7596 | 2009-08-11 |
| 1760613731 | Robyn Anne Elliott | Registered Nurse | 6909 Redondo Peak Rd Ne, Rio Rancho, NM 87144-6759 | 2009-08-07 |
| 1366673089 | Brenda Scott | Registered Nurse | 8404 Manuel Cia Pl Ne, Albuquerque, NM 87122-2813 | 2009-07-29 |
| Find all providers with the same taxonomy | ||||
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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.