SIRI CHAND K KHALSA (NPI# 1942552567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942552567 |
| Entity Type | Individual |
| Full Name | SIRI CHAND K KHALSA |
| Other Name | ALTHEA LYNN SWETT |
| Credential | CNP |
| Practice Address |
2010 Industrial Park Rd El Centro Family Health Rahc Clinic Espanola NM 87532-3600 |
| Mailing Address |
Po Box 158 El Centro Family Health Espanola NM 87532-0158 |
| Practice Telephone | 5057537395 |
| Practice Fax Number | 5057538373 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP-02070 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CNP-02070 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 35623039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687828 | Siri Chand K Khalsa | Internal Medicine | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2005-11-23 |
| Street Address |
2010 INDUSTRIAL PARK RD EL CENTRO FAMILY HEALTH RAHC CLINIC |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920202 | Mark D Bjorklund | Family Medicine | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2005-08-25 |
| 1366043507 | Zachary Vigil | Community Health Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-11-04 |
| 1871194050 | Sixto Aguirre | Community Health Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-11-04 |
| 1891304770 | Mona Serna | Community Health Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-07-27 |
| 1467078873 | Stephanie Gonzales | Community Health Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-06-22 |
| 1477179265 | Krista Maestas | Case Manager/Care Coordinator | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-06-18 |
| 1710503404 | Marie Gutierrez | Case Manager/Care Coordinator | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-06-18 |
| 1649896432 | Destiny Vigil I | Case Manager/Care Coordinator | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-06-18 |
| 1083230775 | Valerie Sanchez | Case Manager/Care Coordinator | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-06-18 |
| 1164048849 | Jerrica Salazar | Case Manager/Care Coordinator | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323284 | Amy Elise Lopez | Nurse Practitioner | 4402 Superstition Dr, Las Cruces, NM 88011 | 2016-05-12 |
| 1841662095 | Barbara Lynn Edmunds-kimrey | Nurse Practitioner | 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 | 2015-10-28 |
| 1518341759 | Karen Elizabeth Kirst-millspaugh | Nurse Practitioner | 209 E. Allen Ayers Rd., Estancia, NM 87016 | 2015-07-17 |
| 1336542992 | Fusion Health & Wellness | Nurse Practitioner | 2402 W Pierce St Ste 6g, Ste 6g, Carlsbad, NM 88220-3566 | 2014-09-26 |
| 1609129691 | Wayne Bryan Chowaniec | Nurse Practitioner | Unm Cancer Center Msc07 4025 1201 Camino De, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-16 |
| 1972853349 | Carla Rae Kychik | Nurse Practitioner | 163 Brannon, Tijeras, NM 87059 | 2012-09-13 |
| 1912208323 | Lisa Marie Meyer | Nurse Practitioner | 2539 Medical Drive, Suite 107, Gerald Champion Regional Medical Center, Alamogordo, NM 88310 | 2010-11-16 |
| 1568777530 | Jacqueline Del Val | Nurse Practitioner | 622 W Maple St Ste F, Farmington, NM 87401-6589 | 2010-08-13 |
| 1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
| 1720269178 | Jodi A. Dettman | Nurse Practitioner | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2007-11-14 |
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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.