MELINDA SUE KOZMA (NPI# 1821272899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821272899 |
| Entity Type | Individual |
| Full Name | MELINDA SUE KOZMA |
| Other Name | MELINDA SUE THACKER |
| Credential | NP |
| Practice Address |
2579 Scenic Dr Ste B Alamogordo NM 88310-8736 |
| Mailing Address |
Po Box 518 Cloudcroft NM 88317 |
| Practice Telephone | 5754465600 |
| Practice Fax Number | 5754348752 |
| Mailing Telephone | 7343558589 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704184717 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2579 SCENIC DR STE B |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-8736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314049 | Oluwabunmi Sarah Oba | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-09-07 |
| 1548786189 | Cacy Lynn Griffin | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2017-08-15 |
| 1447624333 | Holly A Powers | Nurse Practitioner | 916 N White Sands Blvd, Alamogordo, NM 88310-6926 | 2015-11-16 |
| 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 | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.