MS. GINA M FULLBRIGHT (NPI# 1457492795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457492795 |
| Entity Type | Individual |
| Full Name | MS. GINA M FULLBRIGHT |
| Credential | CNP |
| Practice Address |
2520 S Telshor Blvd Las Cruces NM 88011-4907 |
| Mailing Address |
Po Box 6310 Las Cruces NM 88006-6310 |
| Practice Telephone | 5755229793 |
| Practice Fax Number | 5755329019 |
| Mailing Telephone | 5755229793 |
| Mailing Fax Number | 5755329019 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CNP00547 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R28306 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 16574052 | 05 |
| Street Address |
2520 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021225 | Sangeeth Shanbhag Pai | Internal Medicine | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2005-05-23 |
| 1932498755 | Gabrielle Morgan Scharp | Midwife | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2011-04-01 |
| 1831498096 | Shirley Jeanette Hinshaw | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2011-03-26 |
| 1528201597 | New Mexico Primary Care Group P.C. | Internal Medicine | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2009-04-07 |
| 1538359971 | Jill Tellez | Midwife | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2007-08-01 |
| 1861591927 | Shahrzad Tabibi | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011 | 2006-09-22 |
| 1851360655 | Darwana T Ratleff | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295879443 | Minerva Ann Claus | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-19 |
| 1679670020 | Patricia Marie Chavana | Nurse Practitioner | New Mexico State University Msc 3529, Corner of Stewart and Breland, Las Cruces, NM 88003-8001 | 2006-09-20 |
| 1518392380 | Ageless Medical Spa - Clinic | Nurse Practitioner | 3961 E Lohman Ave, Suite 12, Las Cruces, NM 88011-8269 | 2013-09-11 |
| 1932236445 | Carol Ruth Smith | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-28 |
| 1598809717 | Mary Kerwin | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-19 |
| 1295827541 | Catharine A. Foster, Cnp, PC | Nurse Practitioner | 2100 S Triviz Dr Ste H, Las Cruces, NM 88001-0601 | 2006-09-28 |
| 1093829244 | Cindy A Montgomery | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2006-08-17 |
| 1598742587 | Valerie Tell | Nurse Practitioner | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326433269 | Mollie Flint Rieff | Nurse Practitioner | 1751 Old Pecos Trl Ste N, Santa Fe, NM 87505-4706 | 2015-03-30 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1841329992 | Elena A. Olivas | Nurse Practitioner | 865 N Main, Anthony, NM 88021-9325 | 2007-03-05 |
| 1669501813 | Ramsey Allen | Nurse Practitioner | 1306 W Stevens St, Carlsbad, NM 88220-4240 | 2007-03-05 |
| 1841329307 | Susan Lorraine Garrison | Nurse Practitioner | 2610 N Silver St, Silver City, NM 88061-7299 | 2007-03-02 |
| 1699803890 | Mary J Mendoza | Nurse Practitioner | 200 E Chisum St, Roswell, NM 88203-5406 | 2007-03-01 |
| 1902940109 | Velia Luna I | Nurse Practitioner | 215 S Silver Ave, Deming, NM 88030-3715 | 2007-02-19 |
| 1245329697 | Barbara R Salas | Nurse Practitioner | 1424 Second Street, Santa Fe, NM 87505-3485 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on MS. GINA M FULLBRIGHT.
| 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.