DR. KIRSTEN LAVISTA (NPI# 1710025648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710025648 |
| Entity Type | Individual |
| Full Name | DR. KIRSTEN LAVISTA |
| Credential | DN |
| Practice Address |
3600 Cerrillos Rd Suite 407 Santa Fe NM 87507-2612 |
| Practice Telephone | 5054248990 |
| Practice Fax Number | 5054246377 |
| Mailing Telephone | 5054248990 |
| Mailing Fax Number | 5054246377 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0003 | NM | Other Service Providers |
| N | 174400000X | Specialist | IL | Other Service Providers |
| Street Address |
3600 CERRILLOS RD SUITE 407 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467460261 | Michael Ray Martin | Dentist | 3600 Cerrillos Rd, Ste 507, Santa Fe, NM 87507 | 2006-08-04 |
| 1285248716 | Lydia Safina | Massage Therapist | 3600 Cerrillos Rd, Santa Fe, NM 87507-2612 | 2020-09-02 |
| 1144787581 | Alder and Oak Counseling LLC | Clinic/Center | 3600 Cerrillos Rd, St 307, Santa Fe, NM 87507-8750 | 2019-02-21 |
| 1902352404 | Bernard Zayner Jr. | Nutritionist | 3600 Cerrillos Rd, Ste. 407, Santa Fe, NM 87507-2612 | 2016-08-25 |
| 1891106555 | Jimmie Mcclure | Chiropractor | 3600 Cerrillos Rd, Ste 503a, Santa Fe, NM 87507-2612 | 2014-05-15 |
| 1639429632 | Natural Health Solutions LLC | Clinic/Center | 3600 Cerrillos Rd, Suite 503a, Santa Fe, NM 87507-2612 | 2012-09-17 |
| 1972811099 | Dexter Russell | Naprapath | 3600 Cerrillos Rd, Suite 407, Santa Fe, NM 87507-2612 | 2010-09-23 |
| 1457583049 | Tieraona Low Dog | General Practice | 3600 Cerrillos Rd, Suite 712, Santa Fe, NM 87507-2612 | 2009-08-14 |
| 1992905301 | Laura L Lansrud-lopez | Counselor | 3600 Cerrillos Rd, Suite 714 F, Santa Fe, NM 87507-2612 | 2007-07-23 |
| 1609082098 | Renate Wewerka | Psychologist | 3600 Cerrillos Rd, Suite 1001 B, Santa Fe, NM 87507-2612 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952706301 | Robert Marcus | Specialist | 1603 City Lights St, Santa Fe, NM 87507-7613 | 2014-10-28 |
| 1841694049 | Steven Borges | Specialist | 2085 Avenida San Diego, Santa Fe, NM 87507 | 2014-10-16 |
| 1457762411 | Ashley Fried | Specialist | 18b Ellis Ranch Rd, Santa Fe, NM 87505-9537 | 2014-05-13 |
| 1679997027 | Jennifer Antill | Specialist | 32 Paseo Del Valle, Santa Fe, NM 87508-1402 | 2014-02-05 |
| 1023451606 | Moriah J. Williams | Specialist | 1229 S Saint Francis Dr, Santa Fe, NM 87505-4052 | 2013-04-12 |
| 1417214347 | Kimberly Gibbs | Specialist | 1315 S Saint Francis Dr Ste 3, Santa Fe, NM 87505-4035 | 2012-04-17 |
| 1013280791 | Richard Grant Curless | Specialist | 2117 Foothills Rd, Santa Fe, NM 87505-4526 | 2012-02-11 |
| 1356628515 | Paula Summer Gore | Specialist | 2383 Camino Capitan, Apt #1, Santa Fe, NM 87505-6442 | 2011-11-15 |
| 1164706677 | Patricia Smith | Specialist | 490b W Zia Rd Ste 1, Santa Fe, NM 87505-7009 | 2011-10-03 |
| 1114222924 | Monica A Prerovsky | Specialist | 4671 San Ysidro Place, Santa Fe, NM 87507 | 2011-01-26 |
| Find all providers in SANTA FE | ||||
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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.