MRS. SERAPHINE J. ELAM (NPI# 1518109412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518109412 |
| Entity Type | Individual |
| Full Name | MRS. SERAPHINE J. ELAM |
| Credential | R.N. |
| Practice Address |
85 West Highway 22 Santo Domingo Pueblo NM 87052 |
| Mailing Address |
85 West Highway 22 Po Box 340 Santo Domingo Pueblo NM 87052 |
| Practice Telephone | 5054653060 |
| Practice Fax Number | 5053181080 |
| Mailing Telephone | 5054653060 |
| Mailing Fax Number | 5053181080 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN032171 | AZ | Nursing Service Providers |
| Street Address |
85 WEST HIGHWAY 22 |
| City | SANTO DOMINGO PUEBLO |
| State | NM |
| Zip Code | 87052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920520 | John Patirck Pagett | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2020-07-30 |
| 1093345746 | Beth Aime Strimpel | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052-8705 | 2020-01-22 |
| 1245898360 | Helene Quintana | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052-8705 | 2019-06-04 |
| 1609359348 | Caitlin M Harper | Counselor | 85 West Highway 22, Santo Domingo Pueblo, NM 87052-8705 | 2018-09-10 |
| 1396257671 | Valda Panteah | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052-8705 | 2017-10-26 |
| 1942712229 | Kaitlyn Yepa | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052-8705 | 2017-10-26 |
| 1700397593 | Christina S Cruz | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2017-10-19 |
| 1336659077 | Kewa Pueblo Health Corporation | Community/Behavioral Health | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2017-10-09 |
| 1346606753 | Terrance Kusserow | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2016-01-14 |
| 1417313826 | Anthony Willert | Dietitian, Registered | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2016-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902353972 | Karin Luzzi | Registered Nurse | 100 Highway 22 W, Santo Domingo, NM 87052 | 2016-09-07 |
| 1043676273 | Kyle Maestas | Physician Assistant | 85 West Hwy 22, Santo Domingo, NM 87052 | 2016-01-04 |
| 1639579352 | Cynthia Brooks | Registered Nurse | 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 | 2014-08-29 |
| 1720335219 | Samantha Nicole Torres | Pharmacist | 85 W Hwy 22, Santo Domingo, NM 87052 | 2012-08-14 |
| 1780835504 | Roger L Leonard | Clinic/Center | #85 West Hwy 22, Santo Domingo, NM 87052 | 2008-10-10 |
| 1679766489 | Santo Domingo Tribe | Ambulance | #1 Tesuque St., Ems Headquarters, Santo Domingo Pueblo, NM 87052 | 2007-08-24 |
| 1326165994 | Santa Domingo Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 340 San Ildefonso St, Santa Domingo, NM 87052 | 2007-03-26 |
| 1467509612 | Andrea Heeter | Specialist/Technologist | Santo Domingo Health Center, 85 Hwy 22, Santo Domingo, NM 87052 | 2007-01-03 |
| 1578923850 | Tai Marie Paquin | Counselor | 85 West Hwy 22, Santo Domingo, NM 87052 | 2016-03-01 |
| 1679842983 | Kewa Pueblo Health Corporation | Non-emergency Medical Transport (VAN) | 85 W Highway 22, Santo Domingo, NM 87052 | 2011-12-16 |
| Find all providers in zip 87052 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920520 | John Patirck Pagett | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2020-07-30 |
| 1093345746 | Beth Aime Strimpel | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052-8705 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185948 | Trinity Christian Camps, Ltd | Registered Nurse | 1698 S Roosevelt Road 13, Portales, NM 88130-8705 | 2018-08-27 |
| 1841796224 | Patricia Mccarty | Registered Nurse | 49 Twin Peaks Rd Se, Albuquerque, NM 87123-3906 | 2018-04-03 |
| 1326548355 | Dana Tapia | Registered Nurse | 49 Camino La Canada, Los Lunas, NM 87031-8177 | 2018-02-16 |
| 1730691742 | Larissa Baldonado | Registered Nurse | 236 Don Pasqual Rd Nw, Los Lunas, NM 87031 | 2017-10-31 |
| 1639579352 | Cynthia Brooks | Registered Nurse | 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 | 2014-08-29 |
| 1457698714 | Diane M Broome | Registered Nurse | 11a Leaping Powder Rd, Santa Fe, NM 87508-5923 | 2013-01-07 |
| 1588948905 | Catherine Mary Yarmey-legg | Registered Nurse | 1621 Saratoga Dr Ne, Rio Rancho, NM 87144-1511 | 2011-10-04 |
| 1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
| 1023137155 | Cynthia Fraser | Registered Nurse | 516 Nizhoni Boulevard, Bldg. F, Gimc, Phn, Gallup, NM 87301 | 2007-03-28 |
| 1194802017 | James Lee Sutton | Registered Nurse | Jicarilla Health Care Facility, 12000 Stone Lake Rd, Pob 187, Dulce, NM 87528 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | SANTO DOMINGO PUEBLO |
| Zip Code | 87052 |
Please comment or provide details below to improve the information on MRS. SERAPHINE J. ELAM.
| 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.