KATHRYN ANN MICKEY (NPI# 1871031914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871031914 |
| Entity Type | Individual |
| Full Name | KATHRYN ANN MICKEY |
| Other Name | KATHRYN ANN GERBER |
| Credential | CNP |
| Practice Address |
5901 Harper Dr Ne Albuquerque NM 87109-3587 |
| Mailing Address |
1839 Rita Dr Ne Albuquerque NM 87106-1131 |
| Practice Telephone | 5058238886 |
| Mailing Telephone | 5053219060 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R65507 | NM | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53340 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 707 Broadway Blvd Ne, Suite 500, Albuquerque, NM 871022360 | 5052482726 |
| Street Address |
5901 HARPER DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043561 | Megan Van Winkle | Family Medicine | 5901 Harper Dr Ne, Pmg Urgent Care, Albuquerque, NM 87109-3587 | 2005-09-14 |
| 1023661311 | Kelly Jamison | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2019-07-17 |
| 1023586898 | Sherrie Dugas | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-11-08 |
| 1396210696 | Heather Rene Alter | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-10-12 |
| 1114408754 | Mary Terese Anenkeng Anangfac | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-08-22 |
| 1104311869 | John Luna | Physician Assistant | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-06-26 |
| 1831687110 | Jason Mechenbier | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109 | 2018-04-23 |
| 1154835668 | Carol Beadle | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2017-11-20 |
| 1235641838 | Kimberlee Elizabeth Tafoya | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2017-11-04 |
| 1073035689 | Alexandra Carter | Physician Assistant | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| 1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
| 1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
| 1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
| 1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on KATHRYN ANN MICKEY.
| 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.