KRISTEN JEFFCOAT-KNAUER (NPI# 1669801858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669801858 |
| Entity Type | Individual |
| Full Name | KRISTEN JEFFCOAT-KNAUER |
| Credential | RN, MSN, CPNP |
| Practice Address |
1521 W 13th St Clovis NM 88101-5568 |
| Mailing Address |
1515 W Fir St Portales NM 88130-5703 |
| Practice Telephone | 5757690888 |
| Practice Fax Number | 5757639154 |
| Mailing Telephone | 5753566695 |
| Mailing Fax Number | 5753565848 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | GP-01143 | NM | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP02288 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1521 W 13TH ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508966367 | Sherri Lyn Mccarty | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2006-09-22 |
| 1487109559 | Cortnee Lynn Krallman | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2016-08-18 |
| 1437403813 | Basil A Anaele | Pediatrics | 1521 W 13th St, Clovis, NM 88101-5568 | 2012-11-06 |
| 1619223500 | Tulasi S Gajula | Dentist | 1521 W 13th St, Clovis, NM 88101-5568 | 2012-07-28 |
| 1205126364 | Christine Martinez-guajardo | Social Worker | 1521 W 13th St, Clovis, NM 88101-5568 | 2011-04-11 |
| 1215193792 | Adam Strong Bunker | Dentist | 1521 W 13th St, Clovis, NM 88101-5568 | 2008-08-04 |
| 1063674398 | Margaret Hemm | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2008-06-27 |
| 1528259124 | La Casa Family Health Center | Pharmacy | 1521 W 13th St, Clovis, NM 88101-5568 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982637 | Amy Muro | Nurse Practitioner | 726 N Medical Center Dr E Ste 205, Clovis, CA 93611-6886 | 2018-08-21 |
| 1750764296 | Susan Senzaki | Nurse Practitioner | 729 N Medical Center Dr W # 201, Clovis, CA 93611-6879 | 2015-07-01 |
| 1275864936 | Erin Therese Fay | Nurse Practitioner | 21697 Frontier Rd., Clovis, CA 93619-9646 | 2010-01-20 |
| 1265423438 | Janice T Santos | Nurse Practitioner | 2497 Herndon Ave Ste 101, Clovis, CA 93611 | 2005-11-04 |
| 1326047499 | Roberta Anne Bavin | Nurse Practitioner | 510 Barstow Ave, Clovis, CA 93612-2228 | 2005-07-20 |
| 1518586163 | Brittany Megan Perez | Nurse Practitioner | 726 N Medical Center Dr E Ste 205, Clovis, CA 93611-6886 | 2020-04-14 |
| 1861974925 | Karen Anabel Acevedo | Nurse Practitioner | 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 | 2018-09-05 |
| 1417274283 | Hani K Gutierrez | Nurse Practitioner | 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 | 2010-05-03 |
| 1124236542 | Wendee K. Winter | Nurse Practitioner | 510 Barstow Ave, Clovis, CA 93612-2228 | 2007-05-18 |
| 1124009915 | Leta Hering | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-08 |
| Find all providers in CLOVIS | ||||
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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.