DR. TERESA DIANE PRATT (NPI# 1912040288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912040288 |
| Entity Type | Individual |
| Full Name | DR. TERESA DIANE PRATT |
| Credential | M.D. |
| Practice Address |
1700 Cerrillos Rd Santa Fe NM 87505-3554 |
| Practice Telephone | 5059889821 |
| Practice Fax Number | 5059836243 |
| Mailing Telephone | 5059889821 |
| Mailing Fax Number | 5059836243 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD24281 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972097319 | Teresa Lynn Pratt | Dental Hygienist | 3185 W Houghton Lake Dr, Houghton Lake, MI 48629-8242 | 2018-06-19 |
| 1184923021 | Teresa Diane Pratt | Social Worker | 1128 E Weisgarber Rd Ste 210, Knoxville, TN 37909-2676 | 2011-03-17 |
| 1497992176 | Teresa Elaine Pratt | Speech-Language Pathologist | 725 Harrison St, Syracuse, NY 13210-2395 | 2009-01-16 |
| Street Address |
1700 CERRILLOS RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152345 | Lori B Moore | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3554 | 2005-05-24 |
| 1497368880 | Brandon Scott | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-08-26 |
| 1720602543 | Daniel Christensen | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-06-08 |
| 1093355935 | Arrol Anthony Perry | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-01-08 |
| 1154982551 | Mitchel Ryan Anderson | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2019-06-26 |
| 1114496973 | Braden Jacob Wallace | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2018-11-21 |
| 1073009007 | Joanna Yee Tanaka | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2018-07-02 |
| 1003325382 | Kya Norby | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2017-09-29 |
| 1679924948 | Sophia Barker | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2016-06-28 |
| 1942662614 | Andrew Lu | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053947408 | Optimal Wellness Journey | Family Medicine | 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 | 2020-03-18 |
| 1336620053 | Patricia Ann Woodall | Family Medicine | 66 Apache Plume Dr, Santa Fe, NM 87508-9384 | 2018-08-22 |
| 1417201732 | Niki Hodges | Family Medicine | 14310 Highway 6, Santa Fe, TX 77517-3421 | 2012-11-08 |
| 1891055281 | William Mccormick Bowen | Family Medicine | 5501 Herrera Dr Suite B, Christus St. Vincent Urgent Care Entrada Contenta, Santa Fe, NM 87507-2677 | 2012-05-21 |
| 1245597970 | Thomas William Longley | Family Medicine | 454 St. Michaels Drive, Santa Fe, NM 87505 | 2012-04-19 |
| 1215203385 | Joseph M Molina Md Professional Corporation-southern California Molina | Family Medicine | 1714 St. Michaels Drive, Suite #1, Santa Fe, NM 87505-6059 | 2012-03-22 |
| 1255625687 | Eric Grasser Md LLC | Family Medicine | 1925 Aspen Dr Ste 502a, Santa Fe, NM 87505-5559 | 2011-06-02 |
| 1740570175 | Stephanie V Lucero | Family Medicine | 1713 Nm 502, Santa Fe, NM 87506-8931 | 2011-04-19 |
| 1285946947 | Abbas Khoshdel | Family Medicine | 799 Camino Francisca, Santa Fe, NM 87506-6100 | 2010-07-10 |
| 1861652083 | Maria Ramirez-atamoros | Family Medicine | 431 Saint Michaels Dr Ste B, Suite B, Santa Fe, NM 87505-8606 | 2008-06-11 |
| Find all providers in SANTA FE | ||||
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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.