LORETTA KENDRICKS (NPI# 1245215938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245215938 |
| Entity Type | Individual |
| Full Name | LORETTA KENDRICKS |
| Credential | CRNA |
| Practice Address |
516 East Nizhoni Blvd. Gallup NM 87301-1337 |
| Mailing Address |
P.o. Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221421 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221421 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209004287 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
516 EAST NIZHONI BLVD. |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644052 | Dorothy Whitaker | Specialist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-07-26 |
| 1932516333 | Patricia Pate | Nurse Practitioner | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2014-07-17 |
| 1013273325 | Maxine Rose Horton | Nurse Practitioner | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2012-04-11 |
| 1710289723 | Jordan Clifford Burnett | Physical Therapist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2010-11-23 |
| 1881907889 | Sheryl Bahe Livingston | Counselor | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2010-07-19 |
| 1366673113 | Matthew Dennis Jones | Psychologist | 516 East Nizhoni Blvd., Gallup, NM 87301 | 2009-07-28 |
| 1134361785 | Jennifer Nadine Jaggi | Obstetrics & Gynecology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2009-03-28 |
| 1558515940 | David Benjamin Good II | Registered Nurse | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-11-11 |
| 1689839482 | Kadallah Zizwee Brandy | Internal Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-07-22 |
| 1013184654 | Juan Pablo Rossini | Anesthesiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368621 | Andrew Edward Pecore | Nurse Anesthetist, Certified Registered | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-10-28 |
| 1043769219 | Mayra Rael | Nurse Anesthetist, Certified Registered | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2016-09-28 |
| 1063873198 | William P. Harris | Nurse Anesthetist, Certified Registered | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2016-03-17 |
| 1588988745 | Shane Parks | Nurse Anesthetist, Certified Registered | 516 E Nizhoni Blvd, Gallup, NM 87301 | 2010-03-17 |
| 1023118056 | Iris R Kovach | Nurse Anesthetist, Certified Registered | 516 East Nizhoni Blvd., Gallup, NM 87301 | 2006-09-22 |
| 1407802663 | William Watson | Nurse Anesthetist, Certified Registered | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-05-26 |
| 1295723963 | Michael Lee Robinson | Nurse Anesthetist, Certified Registered | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-10-07 |
| 1821080599 | Daria D Jones | Nurse Anesthetist, Certified Registered | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740549 | Catherine Elizabeth Boyle | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 | 2020-08-11 |
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1053958066 | Jessica Quinteros | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd, Las Cruces, NM 88011-8627 | 2019-12-09 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1285122820 | Manuel Dejesus Zarate Jr. | Nurse Anesthetist, Certified Registered | St. Micheals Dr., Santa Fe, NM 87505 | 2018-04-30 |
| 1164957023 | Rachel Haase Donahue | Nurse Anesthetist, Certified Registered | 1896 Lorca Dr Apt 93, Santa Fe, NM 87505-6010 | 2017-04-27 |
| 1871032912 | Socialite Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 200 W 1st St Ste 530, Roswell, NM 88203-4676 | 2017-02-22 |
| 1649728981 | Paul Koury | Nurse Anesthetist, Certified Registered | 13600 Rebonito Ct Ne, Albuquerque, NM 87112-4929 | 2016-09-15 |
| 1922553460 | Francis Ian C Bicol | Nurse Anesthetist, Certified Registered | 1610 Se Main St, Roswell, NM 88203-5404 | 2016-08-24 |
| 1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
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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.