MISS KRISTIN ROSELENA LUCERO (NPI# 1821491630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821491630 |
| Entity Type | Individual |
| Full Name | MISS KRISTIN ROSELENA LUCERO |
| Credential | PT, DPT, LMT, NTS |
| Practice Address |
901 Douglas Ave Las Vegas NM 87701-3928 |
| Mailing Address |
412 Girard Blvd Se Albuquerque NM 87106-2234 |
| Practice Telephone | 5054545719 |
| Mailing Telephone | 5184090551 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4527 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 DOUGLAS AVE |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285767400 | Dwinell L Heverly | Occupational Therapist | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2007-03-14 |
| 1851879480 | Victoria Vigil | Social Worker | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2018-08-06 |
| 1952815581 | John Baldy | Psychologist | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2017-11-17 |
| 1194181545 | Paula Wetterer | Speech-Language Pathologist | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2016-01-14 |
| 1801134549 | Erin Rachel Geer | Physical Therapist | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2013-01-30 |
| 1427324086 | Rosanne M Dimas | Social Worker | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2012-03-28 |
| 1689810061 | Jennie Mae Ortiz | Social Worker | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2009-01-06 |
| 1982738142 | David C. Miller | Psychologist | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2007-03-16 |
| 1508990797 | Terry Stephen Maznio | Social Worker | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2007-03-16 |
| 1700910452 | Lorena A Castro-garcia | Social Worker | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265094270 | Rehab Directives LLC | Physical Therapist | 3165 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2019-07-01 |
| 1659722502 | Kimberly N. Beeman, Pt, Dpt, Pllc | Physical Therapist | 2740 Twin Palms Cir, Las Vegas, NV 89117-2977 | 2016-06-22 |
| 1841527827 | Shelley Celeste | Physical Therapist | 3555 W Reno Ave Ste F, Las Vegas, NV 89118-1609 | 2009-11-11 |
| 1649435488 | Kristen Jolene Barbour | Physical Therapist | 8308 Hampshire Bay St, Las Vegas, NV 89139-6830 | 2008-07-22 |
| 1194984179 | Jennifer Spanheimer | Physical Therapist | 6440 Skypointe Drive, #140-398, Las Vegas, NV 89131 | 2008-06-05 |
| 1215084843 | Josephine Galan De Leon | Physical Therapist | 505 E Windmill Ln, #1 B-125, Las Vegas, NV 89123-1869 | 2007-01-04 |
| 1497810576 | My Left Foot Children's Therapy | Physical Therapist | 2012 S. Jones Blvd, Las Vegas, NV 89146 | 2006-12-27 |
| 1386705580 | Foundation for Positively Kids | Physical Therapist | 701 N Pecos Rd, Bldg M, Las Vegas, NV 89101-2400 | 2006-12-12 |
| 1164519146 | Katherine Joines | Physical Therapist | 7621 Desert Largo Ave, Las Vegas, NV 89128-7299 | 2006-10-09 |
| 1902993983 | Angelica Aguayo | Physical Therapist | 7361 Prairie Falcon Rd, 130, Las Vegas, NV 89128-0823 | 2006-10-09 |
| Find all providers in LAS VEGAS | ||||
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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.