MISPER ETANDO (NPI# 1033752324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033752324 |
Entity Type | Individual |
Full Name | MISPER ETANDO |
Credential | PMHNP-BC |
Practice Address |
2504 Camino Entrada Santa Fe NM 87507-4851 |
Mailing Address |
14114 Grovemist Ln Houston TX 77082-2168 |
Practice Telephone | 5054755006 |
Mailing Telephone | 8328936879 |
Enumeration Date | 2019-10-20 |
Last Update Date | 2019-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
58225 | NM | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP141620 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2504 CAMINO ENTRADA |
City | SANTA FE |
State | NM |
Zip Code | 87507-4851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669402103 | Christopher Clancy | Psychiatry & Neurology | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2006-07-03 |
1003420696 | Heidi Mae Gall | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-09-01 |
1538779897 | Sun Wiltse Vega | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507 | 2020-08-03 |
1740808518 | Bernadette D Mares | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-07-08 |
1982248662 | Teambuilders Behavioral Health, Inc. | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
1790329472 | Teambuilders Behavioral Health, LLC | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
1770126468 | Blake Ann Kish, Bms | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-24 |
1851949739 | Briahna Easton | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-09-03 |
1689222093 | Lori Diane Shepard | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-08-28 |
1922660240 | Cecelia Romero | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-07-08 |
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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 | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151116 | Lauren Jones Sparks | Nurse Practitioner | 9 Calle Venado, Santa Fe, NM 87506-0153 | 2020-10-14 |
1477173896 | Diane Johnston, Pmhnp, LLC | Nurse Practitioner | 1619 Villa Strada, Santa Fe, NM 87506-4512 | 2020-04-27 |
1750836359 | Laura Murphy | Nurse Practitioner | 1220 Senda Del Valle, Unit D, Santa Fe, NM 87507-7738 | 2016-08-24 |
1588686158 | Edward Ray Lobaugh | Nurse Practitioner | 7 Caliente Rd Unit B1, Santa Fe, NM 87508-3104 | 2006-07-24 |
1508400607 | Abigail Banmbuh | Nurse Practitioner | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2019-10-31 |
1407331861 | Lindsey Schweiger-whalen | Nurse Practitioner | 1800 Old Pecos Trl Ste A, Santa Fe, NM 87505-4759 | 2018-10-01 |
1699144998 | Miles Lessen | Nurse Practitioner | 1422 Paseo De Peralta, Santa Fe, NM 87501-4391 | 2015-09-17 |
1124308689 | Nicole Broderson | Nurse Practitioner | 1421 Luisa St, Suite N, Santa Fe, NM 87505-4073 | 2011-08-27 |
1619996592 | Cynthia T Greywolf | Nurse Practitioner | 901 W Alameda St Ste 25, Santa Fe, NM 87501 | 2006-07-19 |
1891710083 | Barbara A. Gilmore | Nurse Practitioner | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2006-07-12 |
Find all providers in SANTA FE |
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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.