KAITLYN THERESE ARCHIBEQUE (NPI# 1750837332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750837332 |
| Entity Type | Individual |
| Full Name | KAITLYN THERESE ARCHIBEQUE |
| Practice Address |
1370a Hwy 313 Algodones NM 87001 |
| Mailing Address |
P.o. Box 716 Algodones NM 87001 |
| Practice Telephone | 5054144565 |
| Mailing Telephone | 5054144565 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1370A HWY 313 |
| City | ALGODONES |
| State | NM |
| Zip Code | 87001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751841 | Edward Gary Gum | Registered Nurse | #3 Cedar Road, San Felipe Pueblo, NM 87001 | 2018-12-16 |
| 1194229278 | Michael Townsend | Peer Specialist | 3 Cedar Rd, Algodones, NM 87001 | 2018-03-22 |
| 1992154850 | Tonya Louis | Social Worker | 25 Cougar Road, San Felipe, NM 87001 | 2016-06-10 |
| 1821391806 | Gail Aguilar | Counselor | 18 Cougar Road, San Felipe Behavioral Health Program, San Felipe, NM 87001 | 2010-12-13 |
| 1740341304 | David M Hanson | Dentist | #4 Cedar Street, San Felipe, NM 87001 | 2006-12-13 |
| 1265511299 | Pueblo of San Felipe | Clinic/Center | 3 Cedar Rd., San Felipe, NM 87001 | 2006-11-02 |
| 1831274851 | San Felipe Health Clinic | General Acute Care Hospital | Cedar Street, San Felipe, NM 87001 | 2006-10-26 |
| 1164439261 | Marvin Jordan Godner | Pediatrics | 711 Pueblo Main Street, San Felipe Pueblo, NM 87001 | 2006-08-02 |
| 1366425712 | Julie Anna King | Pharmacist | San Felipe Health Clinic Pharmacy, Cedar Street #4 San Felipe Pueblo, San Felipe, NM 87001 | 2005-11-21 |
| 1790247583 | Timothy Earle Moeslein | Registered Nurse | #3 Cedar Road, San Felipe Pueblo, NM 87001 | 2019-04-02 |
| Find all providers in zip 87001 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312779 | Gabrielle Julia Atencio | Specialist/Technologist | 53 Road 3312, Aztec, NM 87410-9516 | 2020-10-05 |
| 1447867403 | Hayley Lucero | Specialist/Technologist | 2300 Diamond Mesa Trl Sw Apt 9702, Albuquerque, NM 87121-3723 | 2020-09-24 |
| 1770197709 | Tracy Murtha | Specialist/Technologist | 29 Teddy Bear Lane, Eagle Nest, NM 87718 | 2020-09-08 |
| 1881228815 | Richard Webster | Specialist/Technologist | 1315 Casady Dr, Alamogordo, NM 88310-5346 | 2020-02-28 |
| 1518504885 | Douglas Richard Spence | Specialist/Technologist | 2920 Leopoldo Rd Nw, Albuquerque, NM 87104-2728 | 2019-12-05 |
| 1265081285 | James Eagle | Specialist/Technologist | 21 Cougar Rdg, Santa Fe, NM 87505-8196 | 2019-09-11 |
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1972155349 | Daisuke Shibata | Specialist/Technologist | 1 University of New Mexico # 42610, Albuquerque, NM 87131-0001 | 2019-07-15 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| 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.