MS. BRENDA JO NEIKIRK (NPI# 1932469210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932469210 |
| Entity Type | Individual |
| Full Name | MS. BRENDA JO NEIKIRK |
| Credential | RN FNP-BC |
| Practice Address |
2055 S Pacheco St Ste 300 Santa Fe NM 87505-0504 |
| Practice Telephone | 5059842300 |
| Practice Fax Number | 5059881940 |
| Mailing Telephone | 5059842300 |
| Mailing Fax Number | 5059881940 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
CNP-02472 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 517 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2055 S PACHECO ST STE 300 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-0504 |
| 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 | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509403 | Functional Family Medicine | Clinical Nurse Specialist | 7301 Jefferson St Ne Ste G, Albuquerque, NM 87109-4363 | 2014-09-02 |
| 1174850291 | Clinica De La Gloria | Clinical Nurse Specialist | 1720 Bridge Blvd Sw Ste F, Albuquerque, NM 87105-3182 | 2009-11-10 |
| 1972758688 | Country Medical Services, LLC | Clinical Nurse Specialist | Nm State Highway 120, #1252 (fyi Rural Address), Pob 203, Ocate, NM 87734-0203 | 2008-11-21 |
| 1659805505 | New Mexico Health Care Clinicians Inc. | Clinical Nurse Specialist | 3911 4th St Nw, Suite A, Albuquerque, NM 87107-2510 | 2017-04-18 |
| 1336486984 | Julie Shoemake | Clinical Nurse Specialist | 1900 N Dal Paso St, Hobbs, NM 88240-3045 | 2013-01-15 |
| 1215064399 | Mary Masuk | Clinical Nurse Specialist | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-02-27 |
| 1255480307 | Gloria Vigil | Clinical Nurse Specialist | 1720 Bridge Blvd Sw Ste F, Albuquerque, NM 87105-3182 | 2007-01-09 |
| 1740338086 | Virginia Valentine | Clinical Nurse Specialist | 6100 Pan American Freeway, Ne, Suite 390, Albuquerque, NM 87109-3401 | 2007-01-05 |
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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.