KASSANDRA PRUTSMAN


Address: 126 S. Canyon, Carlsbad, NM 88220
Phone: 5756280503

KASSANDRA PRUTSMAN (NPI# 1164887584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164887584
Entity Type Individual
Full Name KASSANDRA PRUTSMAN
Practice Address 126 S. Canyon
Carlsbad
NM 88220
Mailing Address 33 Tuscarora St
Addison
NY 14801-1231
Practice Telephone 5756280503
Mailing Telephone 6075420353
Enumeration Date 2015-12-30
Last Update Date 2016-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 11973 AZ Other Service Providers
N 174400000X Specialist 15811 NC Other Service Providers
Y 174400000X Specialist 4722 NM Other Service Providers

Office Location

Street Address 126 S. CANYON
City CARLSBAD
State NM
Zip Code 88220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083248991 Diana P Levy Nurse Anesthetist, Certified Registered Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 2020-02-29
1790333680 Angela Houston Nurse Practitioner 202 W. Church Street, Carlsbad, NM 88220 2019-09-03
1265958722 Amanda Henry Social Worker 3000, West Church Street, Carlsbad, NM 88220 2017-08-16
1952827610 Audriana B Martinez Physical Therapy Assistant 1038 Pinon Ln, Carlsbad, NM 88220 2017-08-15
1730538265 Amber Bojorquez Registered Nurse 406 N. Alameda St., Carlsbad, NM 88220 2016-06-06
1306220314 Rocky Mountain Holdings, LLC Ambulance 1505 Terminal Dr, Carlsbad, NM 88220 2015-07-20
1578986402 Sheryl L Dugger Registered Nurse 406 N. Alameda, Carlsbad, NM 88220 2014-01-29
1194153106 Wellcare, Inc. Hospice Care, Community Based 220 S Canal St Ste B, Carlsbad, NM 88220 2013-10-30
1932537420 Wellcare, Inc Home Health 220 S Canal St Ste A, Carlsbad, NM 88220 2013-10-22
1962743542 Jamie D. Covington Counselor 411 N Canyon St, Carlsbad, NM 88220 2013-03-07
Find all providers in zip 88220

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790193498 Louticia Joann Grier Specialist 2914 Luciernaga St Unit A, Carlsbad, CA 92009-5951 2014-07-25
1497179519 Integrative and Holistic Center for Hormone Balancing, Inc. Specialist 2892 Jefferson Street, Carlsbad, CA 92008 2014-02-10
1437494937 Tabatha M Owens Addison Specialist 2100 Palomar Airport Rd, Suite 214, Carlsbad, CA 92011-4402 2012-12-10
1003193384 Kristen Mary Brumleve Specialist 785 Grand Ave Ste 208, Carlsbad, CA 92008-2371 2011-11-14
1629374483 Sandra Acosta Specialist 4710 Birchwood Cir, Carlsbad, CA 92008-3706 2011-01-26
1952544405 Gaspar Physical Therapy A Professional Corporation Specialist 6221 Metropolitan Dr, Unit 101, Carlsbad, CA 92009 2009-04-14
1710144167 Stephen M Stahl Specialist 1930 Palomar Point Way, Suite 103, Carlsbad, CA 92008-5579 2008-05-21
1285807123 Joseph Michael Walker Specialist 2081 Faraday Ave, Carlsbad, CA 92008-7230 2008-04-11
1619196870 Sudabeh Moein Specialist 2892 Jefferson St, Carlsbad, CA 92008-1719 2007-04-25
1588780373 Gary Marvin Willard Specialist 2588f El Camino Real Ste 127, Carlsbad, CA 92008-1201 2007-03-22
Find all providers in CARLSBAD

Competitor

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City CARLSBAD
Zip Code 88220

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Dataset Information

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.

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