BROOKE GELECKI (NPI# 1962955807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962955807 |
| Entity Type | Individual |
| Full Name | BROOKE GELECKI |
| Credential | NP |
| Practice Address |
150 N Roadrunner Pkwy Las Cruces NM 88011-7044 |
| Practice Telephone | 5755566440 |
| Practice Fax Number | 5755566445 |
| Mailing Telephone | 5755566440 |
| Mailing Fax Number | 7555664455 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP-03466 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 56086717 | 05 |
| Street Address |
150 N ROADRUNNER PKWY |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1083181051 | Britteni Nicole Romero | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2018-10-29 |
| 1851891659 | Michael Taylor Evett | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955488 | Vanessa Marie Tapia | Nurse Practitioner | 4365 Malaga St, Las Cruces, NM 88011-4341 | 2019-04-29 |
| 1962982371 | Megan R Vanderveen | Nurse Practitioner | 800 S Telshor Blvd Ste 100, Las Cruces, NM 88011-4623 | 2018-08-15 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1154869873 | La Reencuentro LLC | Nurse Practitioner | 1045 S Main St, Las Cruces, NM 88005-2918 | 2017-02-01 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1164780441 | Elissa Marie Barfoot | Nurse Practitioner | 4672 N Sonoma Ranch Blvd Ste A, Las Cruces, NM 88011-7271 | 2012-04-24 |
| 1649340993 | Roselind Renee Williams | Nurse Practitioner | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2006-11-08 |
| 1568572451 | Jimmie K Hauser | Nurse Practitioner | 4351 E Lohman Ave Ste 100, Las Cruces, NM 88011-8258 | 2006-08-30 |
| 1083610554 | Gwen Renee Williams | Nurse Practitioner | 1680 Calle De Alvarez, Ste B, Las Cruces, NM 88005-3821 | 2005-06-21 |
| 1396366670 | Juan Gutierrez | Nurse Practitioner | 3331 Del Rey Blvd, Las Cruces, NM 88012-7713 | 2020-04-28 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.