MS. MAYBELLE HOLIDAY-DESCHENY (NPI# 1477649523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477649523 |
| Entity Type | Individual |
| Full Name | MS. MAYBELLE HOLIDAY-DESCHENY |
| Credential | ARRT RT |
| Practice Address |
318 Abalone Loop Mescalero Indian Hospital Mescalero NM 88340-0210 |
| Mailing Address |
Po Box 62 2008 2 Red 420 Mescal Loop Mescalero NM 88340-0062 |
| Practice Telephone | 5054044441 |
| Practice Fax Number | 5054644422 |
| Mailing Telephone | 5054644441 |
| Mailing Fax Number | 5054644422 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 183510R | MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
318 ABALONE LOOP MESCALERO INDIAN HOSPITAL |
| City | MESCALERO |
| State | NM |
| Zip Code | 88340-0210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957994 | Carmen Delia Cosme | Pediatrics | 318 Abalone Loop, Mescalero, NM 88340 | 2006-05-11 |
| 1326671751 | Matthew Ward | Pharmacist | 318 Abalone Loop, Mescalero, NM 88340 | 2020-02-13 |
| 1639643232 | Jiali He | Pharmacist | 318 Abalone Loop, Mescalero, NM 88340 | 2019-01-16 |
| 1265839633 | Luna Amelingmeier | General Practice | 318 Abalone Loop, Mescalero Hospital, Mescalero, NM 88340 | 2014-12-01 |
| 1649593443 | Mescalero Indian Hospital | Clinic/Center | 318 Abalone Loop, Mescalero, NM 88340 | 2010-03-08 |
| 1356663298 | Mescalero Indian Hospital | Nursing Facility/Intermediate Care Facility | 318 Abalone Loop, Mescalero, NM 88340-0318 | 2010-02-19 |
| 1295955490 | Barbara Bartram | Technician, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2007-04-27 |
| 1104046309 | Ida L Saenz | Technician, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2007-04-27 |
| 1609935931 | Suzanna Duran | Spec/Tech, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2006-12-06 |
| 1881752970 | Linda M Miles | General Practice | 318 Abalone Loop, Mescalero, NM 88340-0210 | 2006-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748282 | Mescalero Apache Tribe | Community/Behavioral Health | 311 War Bonnet Drive, Mescalero, NM 88340 | 2018-01-25 |
| 1487030755 | Marjorie Hogue | Pharmacist | 308 Abalone Loop, Mescalero, NM 88340 | 2015-08-10 |
| 1043641558 | Mescalero Apache Tribe | Ambulance | 25220 Highway 70, Mescalero, NM 88340 | 2013-12-09 |
| 1255681987 | Reginelle Tortilla | Case Manager/Care Coordinator | 249 Mountain Drive, Mescalero, NM 88340 | 2012-09-10 |
| 1689967051 | Yolanda Shemika Jenkins | Registered Nurse | 318 Abaloone Loop, Mescalero, NM 88340 | 2011-05-18 |
| 1972811487 | Pamela Rose Evans | Case Manager/Care Coordinator | 249 White Mtn. Dr., Mescalero, NM 88340 | 2010-09-17 |
| 1306162821 | David E Hernandez | Counselor | 148 Cottonwood Dr., Mescalero, NM 88340 | 2010-04-08 |
| 1235454018 | Steve A Loepz | Counselor | 148 Cottonwood Drive, Mescalero, NM 88340 | 2010-04-05 |
| 1457584666 | Valerie Vanaya Comanche | Case Manager/Care Coordinator | 249 White Mountain Dr., Mescalero, NM 88340 | 2009-09-03 |
| 1093948291 | Alicia Renee Chico | Case Manager/Care Coordinator | 249 White Mountain Drive, Mescalero, NM 88340 | 2009-09-03 |
| Find all providers in zip 88340 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265982870 | Erin Grissman | Radiologic Technologist | 3260 Venus St, Las Cruces, NM 88012-7753 | 2016-10-06 |
| 1366850950 | Jonathan Chavez | Radiologic Technologist | 1722 Truman St Ne, Albuquerque, NM 87110-5854 | 2014-07-26 |
| 1568605087 | Jeananne Mazzolini | Radiologic Technologist | 2105 West 21st Street, Suite A, Clovis, NM 88101-4086 | 2009-04-14 |
| 1942688361 | Heather Fure | Radiologic Technologist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-05-18 |
| 1952732000 | Michael Lee Romero | Radiologic Technologist | 1397 Weimer Rd, Taos, NM 87571-6253 | 2013-11-27 |
| 1265877757 | Shelly Ann O'connor | Radiologic Technologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2013-05-09 |
| 1447553607 | Mauro S Nava | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2010-12-09 |
| 1487890315 | Guadalupe Renee Rosas | Radiologic Technologist | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-24 |
| 1689650913 | Joanna N Atencio | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-19 |
| 1255317566 | Sarah Manuelito | Radiologic Technologist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-12-19 |
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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.