MRS. LEIGH ANNE TRIVINO (NPI# 1679631733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679631733 |
| Entity Type | Individual |
| Full Name | MRS. LEIGH ANNE TRIVINO |
| Other Name | :LEIGH ANNE ELSTON |
| Credential | PA-C |
| Practice Address |
1331 Gusdorf Rd El Centro Family Health Taos Clinic Taos NM 87571-6282 |
| Mailing Address |
Po Box 158 538 N. Paseo De Onate Espanola NM 87532-0158 |
| Practice Telephone | 5757583601 |
| Practice Fax Number | 9575758108 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 00100-00387 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-2013-0041 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1331 GUSDORF RD EL CENTRO FAMILY HEALTH TAOS CLINIC |
| City | TAOS |
| State | NM |
| Zip Code | 87571-6282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667040 | Alfredo R. Vigil | Family Medicine | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2005-08-31 |
| 1245700152 | Paula A. Solfest | Counselor | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2018-12-04 |
| 1679071757 | Jose Albert Valdez | Social Worker | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2018-01-24 |
| 1326491416 | Monica Bierge Casas | Social Worker | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2016-07-13 |
| 1790163244 | Ruthie A Guzman | Nurse Practitioner | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2015-05-15 |
| 1841686656 | Sandra W Whitney | Nurse Practitioner | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2015-04-08 |
| 1457605727 | Mary R Mclellan | Social Worker | 1331 Gusdorf Rd, El Centro Familly Health-taos Clinic, Taos, NM 87571-6282 | 2012-11-07 |
| 1366711889 | Amanda Gallegos | Counselor | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2011-12-29 |
| 1063790566 | Erick A Struck | Social Worker | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2011-08-01 |
| 1932407681 | El Centro Family Health | Clinic/Center | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568506590 | Susan Ann Herber | Physician Assistant | 300 Paseo Del Pueblo Sur, Taos, NM 87571 | 2007-02-15 |
| 1235410515 | Kellie Ann P Goudreau | Physician Assistant | 1090 Goat Springs Road, Taos, NM 87571 | 2011-08-31 |
| 1871638403 | Beatric E Balsamo | Physician Assistant | 1399 Weimer Rd Ste 200, Ndcbu Box 5775, Taos, NM 87571-6349 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
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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.