ERIN BONHAM RAYBURN (NPI# 1962804930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962804930 |
| Entity Type | Individual |
| Full Name | ERIN BONHAM RAYBURN |
| Credential | PA-C |
| Practice Address |
10800 Dennis Chavez Blvd Sw Albuquerque NM 87121-5498 |
| Practice Telephone | 5052726009 |
| Mailing Telephone | 5052726009 |
| Mailing Fax Number | 5052722234 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2014-0055 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669852588 | Erin Jones Rayburn | Dentist | 2633 Napoleon Ave #820, New Orleans, LA 70115 | 2015-06-05 |
| 1063872257 | Erin Rayburn | Counselor | 3097 Broad St, Chattanooga, TN 37408-3093 | 2016-03-01 |
| Street Address |
10800 DENNIS CHAVEZ BLVD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-5498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861727570 | Judy Martinez | Speech-Language Pathologist | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2009-10-14 |
| 1114561446 | Melissa Parker | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2019-10-30 |
| 1629623335 | Patrick Parker | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2019-08-08 |
| 1366911596 | Denise Portell | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-11-16 |
| 1871073106 | Francesca Apodaca | Social Worker | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-08-16 |
| 1275012486 | Priscilla Casas | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-08-08 |
| 1649787201 | Andrea Diane Zummo | Nurse Practitioner | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-01-04 |
| 1184164139 | Zainab Aldaoseri | Family Medicine | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2017-02-24 |
| 1972056323 | Kiyun Maurice Lynch | Specialist/Technologist | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2016-08-02 |
| 1780988923 | Nicole Laroe Stromberg | Physician Assistant | 10800 Dennis Chavez Blvd Sw, Atrisco Heritage Clinic, Albuquerque, NM 87121-5498 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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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.