DESAREE FOWLER BUCKMAN (NPI# 1124566179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124566179 |
Entity Type | Individual |
Full Name | DESAREE FOWLER BUCKMAN |
Other Name | DESAREE FOWLER |
Credential | PNP-PC |
Practice Address |
4401 E Lohman Ave Las Cruces NM 88011-8267 |
Practice Telephone | 5755329077 |
Mailing Telephone | 5755329077 |
Enumeration Date | 2017-02-09 |
Last Update Date | 2020-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP-03137 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4401 E LOHMAN AVE |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-8267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942288147 | Randy Boyer | Physician Assistant | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2006-01-06 |
1093210932 | Shimon Thomas | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2018-03-23 |
1568992600 | Pain & Spine Clinic of New Mexico PC | Clinic/Center | 4401 E Lohman Ave, Las Cruces, NM 88011 | 2017-06-12 |
1144697277 | Cristianna Garcia | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2015-08-24 |
1245653351 | Yvonne Basil | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2014-01-24 |
1720400682 | Kristina Navarro | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2014-01-13 |
1043530132 | Gretchen Struemph | Pediatrics | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2010-06-11 |
1063490175 | Hasan Adnan | Pediatrics | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2006-01-09 |
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 | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642772 | Little Steps Pediatrics LLC | Nurse Practitioner | 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 | 2020-05-29 |
1558865980 | Kirsten Shelby Guerra | Nurse Practitioner | 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 | 2018-03-21 |
1093210932 | Shimon Thomas | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2018-03-23 |
1871091876 | Annette Michelle Golucke | Nurse Practitioner | 575 S Alameda Blvd, Las Cruces, NM 88005 | 2018-01-25 |
1053854810 | Meghan Robinson | Nurse Practitioner | 4351 E Lohman Ave Ste 100, Las Cruces, NM 88011-8258 | 2016-11-28 |
1881066603 | Kristin Thornsberry | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8443 | 2015-10-21 |
1144697277 | Cristianna Garcia | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2015-08-24 |
1245653351 | Yvonne Basil | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2014-01-24 |
1720400682 | Kristina Navarro | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2014-01-13 |
1093047995 | Elizabeth E Bidwell | Nurse Practitioner | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2010-02-03 |
Find all providers in LAS CRUCES |
City | LAS CRUCES |
Zip Code | 88011 |
Please comment or provide details below to improve the information on DESAREE FOWLER BUCKMAN.
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.