MRS. CASSANDRA LEE GAMBOA (NPI# 1518465723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518465723 |
| Entity Type | Individual |
| Full Name | MRS. CASSANDRA LEE GAMBOA |
| Credential | RN |
| Practice Address |
901 Mccoy Ave Aztec NM 87410-1727 |
| Practice Telephone | 5056436599 |
| Mailing Telephone | 5056436599 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R55424 | NM | Nursing Service Providers |
| Street Address |
901 MCCOY AVE |
| City | AZTEC |
| State | NM |
| Zip Code | 87410-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085817 | Lucia Elizabeth Naranjo | Registered Nurse | 901 Mccoy Ave, Aztec, NM 87410-1727 | 2020-08-27 |
| 1043791999 | Brigette Davee | Speech-Language Pathologist | 901 Mccoy Ave, Aztec, NM 87410-1727 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095448 | Kendill May Jones | Technician | 403 Andrew D, Aztec, NM 87410 | 2019-10-23 |
| 1831346469 | Suzette Lorraine Gordon | Psychologist | 1607 W. Aztec Blvd., Aztec Municipal Schools, Aztec, NM 87410 | 2008-08-26 |
| 1730392101 | Jack Fields Sona II | Pharmacist | Jack Sona, Rph, 100 Llano St, Aztec, NM 87410 | 2007-05-08 |
| 1093888380 | Bryan Standley Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410 | 2006-11-16 |
| 1467531921 | Katherine Andersen | Acupuncturist | 606 South Rio Grande Ave., Suite B, Aztec, NM 87410 | 2006-11-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1649262502 | Kare Inc | Pharmacy | 100 Llano St., Aztec, NM 87410 | 2005-08-17 |
| 1871023044 | Rebekah Leann French | Nurse Practitioner | 120 Llano St, Aztec, NM 87410 | 2017-06-19 |
| 1316486855 | Sarah Anne Thomason | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410 | 2017-02-16 |
| 1629257092 | Karen L Vogel | Speech-Language Pathologist | 455 N Light Plant Rd, Aztec, NM 87410-1517 | 2007-11-01 |
| Find all providers in zip 87410 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669985511 | Stephanie Reeser | Registered Nurse | 507 S Park Ave, Aztec, NM 87410-2253 | 2017-11-14 |
| 1881201473 | Laurel Martin | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410-1818 | 2020-09-28 |
| 1669085817 | Lucia Elizabeth Naranjo | Registered Nurse | 901 Mccoy Ave, Aztec, NM 87410-1727 | 2020-08-27 |
| 1316486855 | Sarah Anne Thomason | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410 | 2017-02-16 |
| 1063950293 | Susie Palmer | Registered Nurse | 455 N Light Plant Rd, Aztec, NM 87410-1517 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702901 | Charlotte Carter | Registered Nurse | 7th and Elm St, San Jon, NM 88434 | 2020-08-28 |
| 1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
| 1366052987 | Katrina Reyes | Registered Nurse | 9 Basalt Dr, Silver City, NM 88061-8961 | 2020-08-07 |
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1962012096 | Donna Lee Rodarte | Registered Nurse | 4th Street & Parque Ave, Maxwell, NM 87728 | 2020-08-04 |
| 1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1124677232 | Sunni Rhea Osborn | Registered Nurse | 309 N. Apple, House, NM 88121-0673 | 2019-09-11 |
| 1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
| 1265087886 | Sheena Danielle Zemke | Registered Nurse | 2 Albert Ln, Los Lunas, NM 87031-7604 | 2019-08-09 |
| 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.