MS. CASSANDRA D. OTERO (NPI# 1245419985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245419985 |
| Entity Type | Individual |
| Full Name | MS. CASSANDRA D. OTERO |
| Credential | PA-C |
| Practice Address |
101 N 6th St Belen NM 87002-3605 |
| Practice Telephone | 5053177773 |
| Mailing Telephone | 5053177773 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-2006-0042 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | LICENSE NUMBER | PA-2006-0042 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272773 | Cassandra Otero | Counselor | 1205 S Main St, Burlington, NC 27215-5762 | 2019-12-15 |
| 1487118824 | Cassandra Marie Otero | Nurse Practitioner | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-01-30 |
| Street Address |
101 N 6TH ST |
| City | BELEN |
| State | NM |
| Zip Code | 87002-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308801 | Valencia Health and Wellness, P.c | Clinic/Center | 101 N 6th St, Belen, NM 87002-3605 | 2019-10-21 |
| 1093055667 | Tiffany Romero Peralta | Clinical Nurse Specialist | 101 N 6th St, Belen, NM 87002-3605 | 2013-02-19 |
| 1669711867 | Dr. David Schneider's Office | Clinic/Center | 101 N 6th St, Belen, NM 87002-3605 | 2013-02-07 |
| 1063574234 | David D Schneider Md PC | Family Medicine | 101 N 6th St, Belen, NM 87002-3605 | 2006-12-14 |
| 1417046483 | David Duane Schneider | Internal Medicine | 101 N 6th St, Belen, NM 87002-3605 | 2006-10-11 |
| 1609883651 | Jennifer Tafoya Trujillo | Family Medicine | 101 N 6th St, Belen, NM 87002-3605 | 2006-08-02 |
| 1588671721 | Jon C Otero | Physical Therapist | 101 N 6th St, Belen, NM 87002-3605 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124776 | Katie Dianna Noblin | Behavior Technician | 91 Lopez Road, Belen, NM 87002 | 2020-01-29 |
| 1093356214 | Sina Medical LLC | Clinic/Center | 386 Rio Communities Blvd, Rio Communities, NM 87002 | 2019-09-30 |
| 1962972505 | Candice Saavedra | Counselor | 2443 Hwy 47, Belen, NM 87002 | 2018-11-27 |
| 1124505201 | Mark Moriarty | Physician Assistant | 609 S Christopher Road, Belen, NM 87002 | 2018-07-23 |
| 1922504117 | Heart & Soul of Nm, Inc | Social Worker | 1300 East River Rd, Apt B, Belen, NM 87002 | 2018-04-05 |
| 1841717865 | Jacque Schneider | Registered Nurse | 19670 Hwy 314, Belen, NM 87002 | 2017-08-30 |
| 1013458892 | Sharlene Lopez | Behavior Technician | 1442 S Hwy 116, Belen, NM 87002 | 2017-03-14 |
| 1770020422 | Katie Jiron | Physical Therapist | 325 S Main St Ste A, Belen, NM 87002 | 2017-01-19 |
| 1275954364 | Leanne Fyfe Armstrong | Registered Nurse | 520 North Main St, Belen, NM 87002 | 2013-12-17 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| Find all providers in zip 87002 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1346405180 | Nicole Marie Williams | Physician Assistant | 703 South Christopher Road, Belen, NM 87002 | 2008-07-22 |
| 1902921182 | Roland Kent Sanchez, Md | Physician Assistant | 703 South Christopher Road, Belen, NM 87002 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 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.