DR. LAURENT GRAHAM BANNOCK (NPI# 1952411092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952411092 |
| Entity Type | Individual |
| Full Name | DR. LAURENT GRAHAM BANNOCK |
| Credential | DHSC LN |
| Practice Address |
3600 Cerrillos Rd Suite 207c Santa Fe NM 87507-2612 |
| Mailing Address |
9 Cerrado Dr Santa Fe NM 87508-8234 |
| Practice Telephone | 5059828475 |
| Practice Fax Number | 5059897865 |
| Mailing Telephone | 5053101476 |
| Mailing Fax Number | 5059828475 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | P-0037 | NM | Dietary & Nutritional Service Providers |
| Street Address |
3600 CERRILLOS RD SUITE 207C |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467460261 | Michael Ray Martin | Dentist | 3600 Cerrillos Rd, Ste 507, Santa Fe, NM 87507 | 2006-08-04 |
| 1285248716 | Lydia Safina | Massage Therapist | 3600 Cerrillos Rd, Santa Fe, NM 87507-2612 | 2020-09-02 |
| 1144787581 | Alder and Oak Counseling LLC | Clinic/Center | 3600 Cerrillos Rd, St 307, Santa Fe, NM 87507-8750 | 2019-02-21 |
| 1902352404 | Bernard Zayner Jr. | Nutritionist | 3600 Cerrillos Rd, Ste. 407, Santa Fe, NM 87507-2612 | 2016-08-25 |
| 1891106555 | Jimmie Mcclure | Chiropractor | 3600 Cerrillos Rd, Ste 503a, Santa Fe, NM 87507-2612 | 2014-05-15 |
| 1639429632 | Natural Health Solutions LLC | Clinic/Center | 3600 Cerrillos Rd, Suite 503a, Santa Fe, NM 87507-2612 | 2012-09-17 |
| 1972811099 | Dexter Russell | Naprapath | 3600 Cerrillos Rd, Suite 407, Santa Fe, NM 87507-2612 | 2010-09-23 |
| 1457583049 | Tieraona Low Dog | General Practice | 3600 Cerrillos Rd, Suite 712, Santa Fe, NM 87507-2612 | 2009-08-14 |
| 1992905301 | Laura L Lansrud-lopez | Counselor | 3600 Cerrillos Rd, Suite 714 F, Santa Fe, NM 87507-2612 | 2007-07-23 |
| 1609082098 | Renate Wewerka | Psychologist | 3600 Cerrillos Rd, Suite 1001 B, Santa Fe, NM 87507-2612 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871627224 | Jerome Deutsch | Nutritionist | 147 F Calle Ojo Feliz, Santa Fe, NM 87505 | 2007-03-16 |
| 1881741403 | Joseph Veltmann | Nutritionist | 2713 Nublado, Santa Fe, NM 87505-6814 | 2007-01-04 |
| 1902352404 | Bernard Zayner Jr. | Nutritionist | 3600 Cerrillos Rd, Ste. 407, Santa Fe, NM 87507-2612 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181269 | Lee Ann Loney | Nutritionist | 1605 N Florida Ave, Alamogordo, NM 88310-6309 | 2020-07-08 |
| 1548814635 | Annalisa Hightower | Nutritionist | 7123 Paese Pl Nw, Albuquerque, NM 87114-5189 | 2019-07-28 |
| 1144717075 | Vdex Diabetes Nm-brown | Nutritionist | 1811 N Riverside Dr Ste C, Espanola, NM 87532-9550 | 2018-04-16 |
| 1568993079 | Kathy Marie Mcintyre | Nutritionist | 6911 Taylor Ranch Rd Nw, Suite C8, Albuquerque, NM 87120-2963 | 2017-03-26 |
| 1568869345 | Leslie Jade Archuleta | Nutritionist | 2800 San Mateo Neblvd 107, Albuquerque, NM 87110-3166 | 2014-11-23 |
| 1396167573 | Scott Kenneth Haese | Nutritionist | 1984 Cameo Dr, Alamogordo, NM 88310-8508 | 2014-01-07 |
| 1457639262 | Mayimrapha Comprehensive Healthcare, LLC | Nutritionist | 4253 Montgomery Blvd Ne Ste 130, Albuquerque, NM 87109-1113 | 2011-07-27 |
| 1598096471 | Lola Cunico | Nutritionist | 1100 S Main St Ste 2, Las Cruces, NM 88005-2917 | 2010-01-16 |
| 1578740262 | Nicole Marie Patton | Nutritionist | 6325 Elk Horn Dr Ne, Albuquerque, NM 87111 | 2008-01-25 |
| 1467469403 | Jean Tiffany Cox | Nutritionist | Department of Ob Gyn 4acc Msc 10 5580, Unm, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
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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.