MRS. AMELYN D'EGIDIO (NPI# 1952599060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952599060 |
| Entity Type | Individual |
| Full Name | MRS. AMELYN D'EGIDIO |
| Credential | CERT MLD THERAPIST |
| Practice Address |
1350 Central Ave Suite 105 Los Alamos NM 87544-3244 |
| Practice Telephone | 5056623384 |
| Mailing Telephone | 5056623384 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 26NP02813400 | NJ | Nursing Service Providers |
| Street Address |
1350 CENTRAL AVE SUITE 105 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023076197 | Physical Therapy Plus Inc | Physical Therapist | 1350 Central Ave, Ste 105, Los Alamos, NM 87544 | 2006-05-01 |
| 1790316131 | Camille L Sackett-wescott | Occupational Therapist | 1350 Central Ave, Los Alamos, NM 87544-3244 | 2020-02-03 |
| 1629596903 | Christian Montoya | Physical Therapist | 1350 Central Ave, Los Alamos, NM 87544-3244 | 2017-09-06 |
| 1811433212 | Copper Canyon Wellness, LLC | Social Worker | 1350 Central Ave, Suite 204, Los Alamos, NM 87544-3244 | 2017-01-10 |
| 1386032720 | Dana Brake | Physical Therapist | 1350 Central Ave, Los Alamos, NM 87544-3244 | 2015-01-08 |
| 1043459217 | Mari L Jorgensen | Physical Therapist | 1350 Central Ave, Suite 105, Los Alamos, NM 87544-3244 | 2009-02-11 |
| 1447430103 | Megan T Lausen | Physical Therapist | 1350 Central Ave, P.t. Plus, Los Alamos, NM 87544 | 2007-11-10 |
| 1548341399 | Annette Weyrauch | Physical Therapist | 1350 Central Ave, Suite 105, Los Alamos, NM 87544-3244 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1144864778 | Christina Averhart | Licensed Practical Nurse | 6739 Academy Rd Ne Ste 250, Albuquerque, NM 87109-3357 | 2019-11-06 |
| 1760947402 | Jessica Lynn Bell | Licensed Practical Nurse | 997 Player Loop Se, Rio Rancho, NM 87124-5802 | 2019-02-06 |
| 1104399914 | Shannon Bailey | Licensed Practical Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-03 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1598272965 | Soraida Sanchez | Licensed Practical Nurse | 1227 N Railroad Ave Ste C, Espanola, NM 87532-3159 | 2018-01-06 |
| 1700393766 | Stacy Jaque Vigil | Licensed Practical Nurse | 213 Chico Dr, Las Vegas, NM 87701-9511 | 2017-12-29 |
| 1679018683 | Catherine Manus | Licensed Practical Nurse | Hwy 64 Old High School Road, 1199, Shiprock, NM 87420-1199 | 2016-12-29 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1477943009 | Jeremy Martinez | Licensed Practical Nurse | 208 Guachupangue Rd, Espanola, NM 87532 | 2015-02-04 |
| 1750794426 | Lori Y Rodriguez | Licensed Practical Nurse | 1923 Morris Pl, Santa Fe, NM 87505-5466 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on MRS. AMELYN D'EGIDIO.
| 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.