DESIREE NICOLE BUSTAMANTES (NPI# 1699324525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699324525 |
| Entity Type | Individual |
| Full Name | DESIREE NICOLE BUSTAMANTES |
| Credential | SCHOOL PSYCH INTERN |
| Practice Address |
310 W Elm St Deming NM 88030-4123 |
| Mailing Address |
1321 E Poplar St Deming NM 88030-4807 |
| Practice Telephone | 5755460427 |
| Mailing Telephone | 5755465951 |
| Mailing Fax Number | 5755465994 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
393374 | NM | Behavioral Health & Social Service Providers |
| Street Address |
310 W ELM ST |
| City | DEMING |
| State | NM |
| Zip Code | 88030-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548673346 | Tahirih Post | Psychologist | 310 W Elm St, Deming, NM 88030-4123 | 2014-06-09 |
| 1194151852 | Tessa Penn-smith | Speech-Language Pathologist | 310 W Elm St, Deming, NM 88030-4123 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| 1437621943 | Lloyd's Water Pal Corporation | Pharmacist | 622 West First Street, Soon Other At Other : 8700 East Fourth Street, Deming, NM 88030 | 2018-12-21 |
| 1649768672 | Beatrice Kasey Jackson | Behavior Technician | 1411 S Socorro St, Deming, NM 88030 | 2018-04-25 |
| 1376062174 | Suzzana M Weber | Social Worker | 1321 E Poplar Ave, Deming, NM 88030 | 2017-09-12 |
| 1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
| 1124419627 | Ambercare Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 707 E Pine St, Suite A, Deming, NM 88030 | 2015-02-05 |
| 1508288598 | Brian Plasters | Case Manager/Care Coordinator | 9025 Hwy 377 Ne, Deming, NM 88030 | 2014-01-10 |
| 1275884785 | Marcos A Reyna | Counselor | 125 Chaparral Blvd. Nw, Deming, NM 88030 | 2012-09-24 |
| 1487963831 | Juanita A. Smith | Case Manager/Care Coordinator | 901 West Hickory, Deming, NM 88030 | 2010-10-04 |
| 1659504231 | Marylou H Lozano | Case Manager/Care Coordinator | 901 West Hickory St, Deming, NM 88030 | 2009-08-28 |
| Find all providers in zip 88030 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194857607 | Larry Anthony Zamora | Psychologist | 1001 S Diamond Ave, Deming, NM 88030-4710 | 2007-03-10 |
| 1275165656 | Javier C Salas | Psychologist | 1321 E Poplar St, Deming, NM 88030-4807 | 2020-02-04 |
| 1962900266 | Diana Diaz | Psychologist | 1001 S Diamond Ave, Deming, NM 88030-4710 | 2018-02-01 |
| 1548673346 | Tahirih Post | Psychologist | 310 W Elm St, Deming, NM 88030-4123 | 2014-06-09 |
| 1871936104 | Tra Afua Ahia | Psychologist | 501 W Florida St, Deming, NM 88030-6302 | 2013-04-17 |
| 1265713366 | Rebecca Monica Amezquita | Psychologist | 1001 S Diamond Ave, Deming, NM 88030-4710 | 2011-09-01 |
| 1447586060 | Carol Shay Zimmermann | Psychologist | 501 W Florida St, Deming, NM 88030-6302 | 2009-11-02 |
| 1427281179 | Myra M Kershaw | Psychologist | 501 W Florida St, Deming, NM 88030-6302 | 2009-08-28 |
| 1992937221 | Dalia Bermudez Licon | Psychologist | 1001 S Diamond Ave, Deming, NM 88030-4710 | 2009-08-20 |
| 1619120045 | Edith Lima | Psychologist | 1001 S Diamond Ave, Deming, NM 88030-4710 | 2008-10-29 |
| Find all providers in DEMING | ||||
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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.