PATRICK ERCOLINO (NPI# 1730634056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730634056 |
| Entity Type | Individual |
| Full Name | PATRICK ERCOLINO |
| Practice Address |
405 N Date St T Or C NM 87901-2377 |
| Practice Telephone | 5758947459 |
| Mailing Telephone | 5758947459 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
268273 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | STATE OF NEW MEXICO PED | 268273 | 01 |
| Street Address |
405 N DATE ST |
| City | T OR C |
| State | NM |
| Zip Code | 87901-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114472438 | Allison Mettey | Speech-Language Pathologist | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| 1356896674 | Jim Vigil | Counselor | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| 1356896690 | Joi Holsapple | Counselor | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| 1144680877 | Darlene Rouse | Registered Nurse | 405 N Date St, T Or C, NM 87901-2377 | 2016-02-23 |
| 1740649581 | Sheyla Velez | Registered Nurse | 405 N Date St, T Or C, NM 87901-2377 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356896690 | Joi Holsapple | Counselor | 405 N Date St, T Or C, NM 87901-2377 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730731621 | Victoria Anne Roybal | Counselor | 2075 Trinity Dr, Los Alamos, NM 87544-3093 | 2019-07-11 |
| 1316288251 | Mark Richmond | Counselor | 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512 | 2013-03-01 |
| 1871748707 | Devon Ann Ehardt | Counselor | 12200 Academy Rd Ne, Apt #1235, Albuquerque, NM 87111-7245 | 2008-11-19 |
| 1265625156 | Rita Dominguez | Counselor | 1301 West Washington Street, Anthony, NM 88021 | 2007-08-23 |
| 1669533972 | Turquoise Trail Elementary School | Counselor | 13a San Marcos Loop, Santa Fe, NM 87508-8627 | 2006-12-12 |
| 1578065850 | Thomas J Salb | Counselor | 315 E Clinton St, Hobbs, NM 88240-8238 | 2018-03-02 |
| 1902347107 | Robert Eli Bierer | Counselor | Msc06 3870, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-03-20 |
| 1225400773 | Elizabeth Wiygul Love | Counselor | 18 W Washington Ave, Lovington, NM 88260-4023 | 2015-10-23 |
| 1528461159 | Sadie L Smith-mcdaniel | Counselor | 101 E Broadway Ave, Bloomfield, NM 87413-6235 | 2014-09-26 |
| 1124203070 | Julian Romero | Counselor | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2008-01-09 |
| Find all providers with the same taxonomy | ||||
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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.