TOMASITA SEDILLO (NPI# 1093282725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093282725 |
| Entity Type | Individual |
| Full Name | TOMASITA SEDILLO |
| Credential | RN |
| Practice Address |
4050 118th St Sw Albuquerque NM 87121 |
| Mailing Address |
10629 Gentry Ln Sw Albuquerque NM 87121-3687 |
| Practice Telephone | 5052530300 |
| Practice Fax Number | 5058731723 |
| Mailing Telephone | 5052279332 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN-74239 | NM | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NURSING LICENSE | RN-74239 | 01 |
| Street Address |
4050 118TH ST SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 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 |
| 1013257237 | Noemi Martinez | Chiropractor | 352 Lindsay, Albuquerque, NM 87121 | 2013-02-25 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
| 1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
| 1548815269 | Andrea Romero | Registered Nurse | 400 Edith Blvd Ne, Albuquerque, NM 87102-2510 | 2019-08-08 |
| 1235784083 | Samantha Cabral | Registered Nurse | 2800 Vermejo Park Dr Sw, Albuquerque, NM 87121-7200 | 2019-08-08 |
| 1780164145 | Ara Romero | Registered Nurse | 2700 Mountain Rd Nw, Albuquerque, NM 87104-1716 | 2018-08-15 |
| 1568941383 | Elizabeth Wiggins-brooks | Registered Nurse | 1440 Gatewood Ave Sw, Albuquerque, NM 87105-3717 | 2018-08-13 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1669971339 | Jody Wagner | Registered Nurse | 6400 Uptown Blvd Ne Ste 385, Albuquerque, NM 87110-4202 | 2018-02-07 |
| 1992256770 | Marjane Glazebrook | Registered Nurse | 801 Stephen Moody St Se, Albuquerque, NM 87123-1994 | 2016-10-17 |
| 1558782516 | Donna Bader | Registered Nurse | 6400 Uptown Blvd Ne Ste 360w, Albuquerque, NM 87110-4295 | 2013-12-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on TOMASITA SEDILLO.
| 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.