TERESE AILEEN O'NEIL SELVAGE (NPI# 1205935004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205935004 |
| Entity Type | Individual |
| Full Name | TERESE AILEEN O'NEIL SELVAGE |
| Other Name | TERESE AILEEN O'NEIL |
| Credential | MN, CNP |
| Practice Address |
901 W Alameda St Ste 25 Santa Fe NM 87501-1673 |
| Mailing Address |
2720 Calle Cedro Santa Fe NM 87505-5297 |
| Practice Telephone | 5059888869 |
| Practice Fax Number | 5059826298 |
| Mailing Telephone | 5054710715 |
| Mailing Fax Number | 5059846918 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R36675 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP00790 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1160 Camino De Cruz Blanca, Santa Fe, NM 875054584 | 5059846418 | 5059846918 |
| Street Address |
901 W ALAMEDA ST STE 25 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942257993 | Cheri Loggains | Social Worker | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2006-05-27 |
| 1801140488 | Lori D Pearson Kramer | Advanced Practice Midwife | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2012-11-02 |
| 1003116922 | Jennifer Louise Babcock Pierce | Family Medicine | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2010-10-26 |
| 1760782601 | Jesse Vincent Gabriel | Family Medicine | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2010-10-26 |
| 1306039276 | David Michael King | Pediatrics | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2007-08-23 |
| 1609953371 | Betty Jean Whatley | Family Medicine | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2006-11-01 |
| 1770678609 | Laurence Shandler | Pediatrics | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2006-10-04 |
| 1396838082 | Hilda Mcadams | Nurse Practitioner | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2006-10-02 |
| 1619996592 | Cynthia T Greywolf | Nurse Practitioner | 901 W Alameda St Ste 25, Santa Fe, NM 87501 | 2006-07-19 |
| 1437174984 | Janet L Kirk | Pediatrics | 901 W Alameda St Ste 25, Santa Fe, NM 87501-1673 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114099124 | Nancy Carol Lehrhaupt | Nurse Practitioner | 4 Duende Rd, Santa Fe, NM 87508-2247 | 2006-11-14 |
| 1144873993 | Christine Amalia Varga | Nurse Practitioner | 901 W Alameda St, Santa Fe, NM 87501-1681 | 2019-07-22 |
| 1821549643 | Sheila Hundley | Nurse Practitioner | 1650 Hospital Dr, Suite 800, Santa Fe, NM 87505-4769 | 2016-10-17 |
| 1699162198 | Sarah Lindiwe Hobongwana | Nurse Practitioner | 649 Harkle Rd Ste E, Santa Fe, NM 87505-4765 | 2015-04-22 |
| 1306997879 | Holly Jean Purcell-callin | Nurse Practitioner | 2212 Brothers Rd, Santa Fe, NM 87505-6903 | 2007-01-13 |
| 1255409728 | Nancy Lehrhaupt Cnp LLC | Nurse Practitioner | 4 Duende Rd, Santa Fe, NM 87508-2247 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323284 | Amy Elise Lopez | Nurse Practitioner | 4402 Superstition Dr, Las Cruces, NM 88011 | 2016-05-12 |
| 1841662095 | Barbara Lynn Edmunds-kimrey | Nurse Practitioner | 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 | 2015-10-28 |
| 1518341759 | Karen Elizabeth Kirst-millspaugh | Nurse Practitioner | 209 E. Allen Ayers Rd., Estancia, NM 87016 | 2015-07-17 |
| 1336542992 | Fusion Health & Wellness | Nurse Practitioner | 2402 W Pierce St Ste 6g, Ste 6g, Carlsbad, NM 88220-3566 | 2014-09-26 |
| 1609129691 | Wayne Bryan Chowaniec | Nurse Practitioner | Unm Cancer Center Msc07 4025 1201 Camino De, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-16 |
| 1972853349 | Carla Rae Kychik | Nurse Practitioner | 163 Brannon, Tijeras, NM 87059 | 2012-09-13 |
| 1912208323 | Lisa Marie Meyer | Nurse Practitioner | 2539 Medical Drive, Suite 107, Gerald Champion Regional Medical Center, Alamogordo, NM 88310 | 2010-11-16 |
| 1568777530 | Jacqueline Del Val | Nurse Practitioner | 622 W Maple St Ste F, Farmington, NM 87401-6589 | 2010-08-13 |
| 1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
| 1720269178 | Jodi A. Dettman | Nurse Practitioner | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2007-11-14 |
| Find all providers with the same taxonomy | ||||
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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.