BRANDI LYNNETTE TEDDER (NPI# 1841714300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841714300 |
| Entity Type | Individual |
| Full Name | BRANDI LYNNETTE TEDDER |
| Credential | FNP-C |
| Practice Address |
1600 N Main Ave Lovington NM 88260-2830 |
| Practice Telephone | 5753966611 |
| Practice Fax Number | 5753965640 |
| Mailing Telephone | 5753966611 |
| Mailing Fax Number | 5753965640 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP134377 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-03427 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1923 N Dal Paso St Ste A, Hobbs, NM 882403023 | 5754333000 | 5754334452 |
| 2626 N Bryant Blvd, San Angelo, TX 769032861 | (325) 481-2000 |
| Street Address |
1600 N MAIN AVE |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924008 | Shannon Michelle Allen | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260 | 2005-07-07 |
| 1811503303 | Megan Deanne Chavarria | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2871 | 2020-09-20 |
| 1518587948 | Mary Victoria Cansino | Speech-Language Pathologist | 1600 N Main Ave, Lovington, NM 88260-2813 | 2020-04-27 |
| 1902449820 | Francisco Alonzo Espino | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-10-23 |
| 1306303326 | Zarah Mae Cortez | Physical Therapist | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-02-26 |
| 1285136119 | Lugene M Twiggs | Social Worker | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-03-07 |
| 1437650934 | Sandra Lizet Orozco | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-02-21 |
| 1457865677 | Matthew Bruns Berilla | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260 | 2017-11-27 |
| 1255882718 | Jacqueline Marinovich | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2016-10-20 |
| 1558721589 | Nina Colvin | Dietitian, Registered | 1600 N Main Ave, Lovington, NM 88260-2830 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952848590 | Marla B Hardy | Nurse Practitioner | 1822 W Central Ave, Lovington, NM 88260-3723 | 2017-01-20 |
| 1790996833 | Rural Health Care, LLC | Nurse Practitioner | 399 Thornhill Rd Ste 2, Lovington, NM 88260-9566 | 2007-05-24 |
| 1932105384 | Katherine L Batton | Nurse Practitioner | 1600 North Main, Lovington, NM 88260-2813 | 2005-06-21 |
| 1811503303 | Megan Deanne Chavarria | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2871 | 2020-09-20 |
| 1902449820 | Francisco Alonzo Espino | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-10-23 |
| 1255882718 | Jacqueline Marinovich | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2016-10-20 |
| 1023480274 | Kelli Mccall | Nurse Practitioner | 1600 North Main, Lovington, NM 88260-2830 | 2015-10-28 |
| 1891139259 | Candida Ladawn Coburn | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2013-04-29 |
| 1295178200 | Karen S Cummings | Nurse Practitioner | 1600 North Main, Lovington, NM 88260-2830 | 2013-04-09 |
| 1679810592 | Ocotlan Montoya | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2813 | 2013-01-11 |
| Find all providers in LOVINGTON | ||||
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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.