ALICIA NICOLE PEACOCK (NPI# 1811394828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811394828 |
| Entity Type | Individual |
| Full Name | ALICIA NICOLE PEACOCK |
| Credential | FNP |
| Practice Address |
1850 East Hwy 66 Gallup NM 87301 |
| Mailing Address |
Po Box 2956 Farmington NM 87401 |
| Practice Telephone | 5059184602 |
| Mailing Telephone | 5059184601 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CNP-02574 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1850 EAST HWY 66 |
| City | GALLUP |
| State | NM |
| Zip Code | 87301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211883 | Denise Walter | Nurse Practitioner | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-12-09 |
| 1417215294 | Eduardo Maniti Gonzales Jr. | Nurse Practitioner | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2012-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104115 | Eleonora Trujillo | Nurse Practitioner | 60 Balsa Rd, Santa Fe, NM 87508-8736 | 2020-11-04 |
| 1215536545 | Eglis Jane Pereyra | Nurse Practitioner | 5720 Lost Dutchman St Ne, Albuquerque, NM 87111-5903 | 2020-10-19 |
| 1467061895 | Bruna Brum Wynne | Nurse Practitioner | 933 Bradbury Dr Se Ste 2204, Albuquerque, NM 87106-4375 | 2020-07-31 |
| 1033738786 | Acute Care House Calls LLC | Nurse Practitioner | 106 Main St Ne Ste A, Los Lunas, NM 87031-7795 | 2020-04-13 |
| 1811522238 | Oso Medical Group, LLC | Nurse Practitioner | 2441 Menaul Blvd Ne, Albuquerque, NM 87107-1823 | 2020-03-05 |
| 1538790571 | Chelsey A Weinbrecht | Nurse Practitioner | 143 Square H Rd, Edgewood, NM 87015-9539 | 2020-01-29 |
| 1417595562 | Brandy Renee Chavez | Nurse Practitioner | 12205 Palm Springs Ave Ne, Albuquerque, NM 87111-5421 | 2019-12-18 |
| 1417590175 | Lauren H Bowen | Nurse Practitioner | 490 W Zia Rd # A, Santa Fe, NM 87505-6996 | 2019-10-24 |
| 1598307530 | Audrey R Clark | Nurse Practitioner | 7936 Brady Rd Nw, Albuquerque, NM 87120-1246 | 2019-10-10 |
| 1639732332 | Abigail Truely Mcmanigal | Nurse Practitioner | 1400 Commerce Dr, Carlsbad, NM 88220-9187 | 2019-04-17 |
| 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.