Loretta M Kastendieck (NPI# 1861480782, PAC ID# 0345222816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861480782 |
| PAC ID by PECOS | 0345222816 |
| Professional Enrollment ID | I20040607001269 |
| Full Name | Loretta M Kastendieck |
| Organization Legal Name | SERENITY INC |
| Address |
421 Saint Michaels Dr Santa Fe NM 87505-7601 |
| Phone Number | 5059839877 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6800987637 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320002 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 421 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 5059839877 | SERENITY INC |
| Organization Legal Name | SERENITY INC |
| Physicians | 1 |
| Street Address |
421 SAINT MICHAELS DR |
| City | SANTA FE |
| State | NM |
| Zip | 87505-7601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt D Kastendieck | Family Medicine | 421 Saint Michaels Dr, Santa Fe, NM 87505-7601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Jamison | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Sanjay Bardwaj | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Laura K Merrigan | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Nancy C Lehrhaupt | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Candace R Kenyon | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Alyson F Yacono | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Thomas Longley | Family Medicine | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Amy Jelliffe | Psychiatry | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Melinda M Ramirez | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Kamasamudram Ravilochan | Neurology | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Find all physicians in zip 87505 | |||
| City | SANTA FE |
| Zip Code | 87505 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SANTA FE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Loretta M Kastendieck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.