MS. ANNABELLE X. GUTIERREZ SISNEROS (NPI# 1558457309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558457309 |
| Entity Type | Individual |
| Full Name | MS. ANNABELLE X. GUTIERREZ SISNEROS |
| Other Name | MRS. ANA GUTIERREZ MORA |
| Credential | APRN, BC MSN CCM MA |
| Practice Address |
1120 Industrial Park Rd, Suite 401 Espanola NM 87532-0000 |
| Mailing Address |
Po Box 1845 1120 Industrial Park Rd., Suite 401 Espanola NM 87532-0000 |
| Practice Telephone | 5056900213 |
| Practice Fax Number | 5057472965 |
| Mailing Telephone | 5056900213 |
| Mailing Fax Number | 5057472965 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R22377 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 59870788 | 05 |
| Street Address |
1120 INDUSTRIAL PARK RD, SUITE 401 |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295863892 | Anita Briscoe | Clinical Nurse Specialist | 718 Adams St Ne, Albuquerque, NM 87110-6224 | 2007-03-02 |
| 1669501276 | Christine Trubic Huntley | Clinical Nurse Specialist | 813 Marie Park Dr Ne, Albuquerque, NM 87123-1718 | 2007-03-02 |
| 1366467557 | Alice E Powsner | Clinical Nurse Specialist | 2128 Silver Ave Se, Albuquerque, NM 87106-4010 | 2006-07-12 |
| 1144297771 | Janice Marion Penn | Clinical Nurse Specialist | 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 | 2006-03-02 |
| 1427022342 | Carolyn Earnest | Clinical Nurse Specialist | 1502 S Saint Francis Dr, Santa Fe, NM 87505-4040 | 2006-02-15 |
| 1891991535 | Ruth Elaine Rhoad | Clinical Nurse Specialist | 211 W Mesa Ave, Suite 4, Gallup, NM 87301-6382 | 2007-06-21 |
| 1669481933 | Nancy Rose Mahdavi | Clinical Nurse Specialist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-05 |
| 1780693036 | Dianne Green Kooi | Clinical Nurse Specialist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-05 |
Please comment or provide details below to improve the information on MS. ANNABELLE X. GUTIERREZ SISNEROS.
| 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.