MS. LYNETTE BOWANNIE (NPI# 1245472067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245472067 |
| Entity Type | Individual |
| Full Name | MS. LYNETTE BOWANNIE |
| Credential | LADAC |
| Practice Address |
101 D Avenue Zuni NM 87327 |
| Mailing Address |
Po Box 339 Zuni NM 87327-0339 |
| Practice Telephone | 5057824710 |
| Practice Fax Number | 5057825880 |
| Mailing Telephone | 5057824710 |
| Mailing Fax Number | 5057825580 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0121301 | NM | Behavioral Health & Social Service Providers |
| Street Address |
101 D AVENUE |
| City | ZUNI |
| State | NM |
| Zip Code | 87327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720406903 | Zuni Recovery Center | Community/Behavioral Health | 101 D Avenue, Blackrock, Zuni, NM 87327-0000 | 2014-04-03 |
| 1003154170 | Robert K. Waatsa | Counselor | 101 D Avenue, Black Rock, Zuni, NM 87327 | 2013-01-24 |
| 1679845143 | Olivia Eriacho | Counselor | 101 D Avenue, Zuni, NM 87327-0339 | 2012-01-31 |
| 1558503847 | George Moore | Counselor | 101 D Avenue, Zuni, NM 87327 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961088 | Jesus Carlos Hinojosa | Pharmacist | 21 Rte 301 S, Zuni, NM 87327 | 2020-08-07 |
| 1336762962 | June Miki Morikawa | Optometrist | Rte 301 N 21b Ave, Zuni, NM 87327 | 2020-05-18 |
| 1629486170 | John David Walker | Dentist | 301 North B Street, Zuni, NM 87327 | 2014-07-29 |
| 1972921005 | Andrew Jensen | Family Medicine | 12 B Ave, Zuni, NM 87327 | 2014-04-05 |
| 1063854263 | Jocelyne Klasen | Counselor | 02 Twin Buttes, Zuni, NM 87327 | 2013-07-29 |
| 1184918906 | Peter Summerfelt | Dentist | 301 N. B St., Zuni, NM 87327 | 2011-06-09 |
| 1528352200 | Natalia Mendoza | Family Medicine | Route 301 North B Avenue, Zuni Comprehensive Community Health Center, Zuni, NM 87327 | 2011-05-31 |
| 1871812503 | Amanda Stentiford | Physical Therapist | Route 301 North21 B Avenue, Zuni, NM 87327 | 2010-05-20 |
| 1578889044 | Jason Kurland | Family Medicine | Route 301 North 21 B Avenue, Zuni, NM 87327 | 2010-04-08 |
| 1558699272 | Juana L Chavez | Home Health Aide | 47 Chavez Circle, Zuni, NM 87327 | 2009-11-19 |
| Find all providers in zip 87327 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867772 | Zane Romancito | Counselor | 99 D Ave, Black Rock, Zuni, NM 87327 | 2009-09-30 |
| 1518291558 | Mark Martinez | Counselor | 101 'd' Avenue, Black Rock, Zuni, NM 87327-0101 | 2009-09-23 |
| 1003154170 | Robert K. Waatsa | Counselor | 101 D Avenue, Black Rock, Zuni, NM 87327 | 2013-01-24 |
| 1679845143 | Olivia Eriacho | Counselor | 101 D Avenue, Zuni, NM 87327-0339 | 2012-01-31 |
| 1689991390 | Kathlin Panteah | Counselor | 99 D Ave, Black Rock, Zuni, NM 87327-0000 | 2010-04-21 |
| 1073847687 | Beverly Leonard | Counselor | 101 'd' Avenue, Black Rock, Zuni, NM 87327-0000 | 2009-09-29 |
| 1558503847 | George Moore | Counselor | 101 D Avenue, Zuni, NM 87327 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| 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.