MARY LORING DAGGETT (NPI# 1265551469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265551469 |
| Entity Type | Individual |
| Full Name | MARY LORING DAGGETT |
| Other Name | LORI DAGGETT |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Bikini Atoll Road Ms D421 Los Alamos NM 87545 |
| Mailing Address |
2305 Calle Pintura Santa Fe NM 87505-5273 |
| Practice Telephone | 5056652631 |
| Mailing Telephone | 5054712569 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
95-PA30 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | K3602 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639669401 | Mary Daggett | Physical Therapist | 1221 Pine Grove Ave, Port Huron, MI 48060 | 2018-05-16 |
| Street Address |
BIKINI ATOLL ROAD MS D421 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982896262 | William Henry Brady IIi | Preventive Medicine | Los Alamos National Laborabory, Ms D421, Los Alamos, NM 87545-0001 | 2007-08-10 |
| 1114058187 | Dennis M. Juarros | Physician Assistant | Los Alamos National Lab, Occupational Medicine, Ms D421, Los Alamos, NM 87545-0001 | 2007-03-08 |
| 1366658221 | John W Collings | Physician Assistant | Los Alamos National Lab, Occupational Med Dept, Los Alamos, NM 87545-0001 | 2007-05-15 |
| 1437234580 | Carondelet Health Network | Psychiatric Unit | 1601 West St Mary's Road, Tucson, AZ 87545-2623 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846708 | Integrated Energies LLC | Clinic/Center | 3000 Trinity Dr Apt 59, Los Alamos, NM 87544-2340 | 2020-09-21 |
| 1063045029 | Active Integration Therapy, LLC | Counselor | 3250 Trinity Dr Ste B1, Los Alamos, NM 87544-2226 | 2020-02-18 |
| 1568006161 | Justine Dodge | Speech-Language Pathologist | 402 Pruitt Ave, Los Alamos, NM 87547-3627 | 2019-11-06 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1790330207 | Alder and Oak Counseling LLC | Social Worker | 1350 Central Ave Ste 204, Los Alamos, NM 87544-6218 | 2019-08-02 |
| 1730731621 | Victoria Anne Roybal | Counselor | 2075 Trinity Dr, Los Alamos, NM 87544-3093 | 2019-07-11 |
| 1952962540 | Michelle Harkey | Counselor | 3250 Trinity Dr Ste B2, Los Alamos, NM 87544-2226 | 2019-06-25 |
| 1699237982 | Desert Sky Therapy Services, LLC | Counselor | 1505 15th St # A8, Los Alamos, NM 87544-3000 | 2019-04-04 |
| 1982161766 | Jonathan Gabriel Valencia | Behavior Technician | 1350 Central Ave Ste 300, Los Alamos, NM 87544-6218 | 2019-02-27 |
| 1619441227 | Catharyn Dianne Crall | Counselor | 1907 Central Ave Ste 214, Los Alamos, NM 87544-4017 | 2019-01-16 |
| Find all providers in LOS ALAMOS | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124512207 | Michelle Certik | Physician Assistant | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2018-06-21 |
| 1487962031 | Linda Taylor | Physician Assistant | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2010-09-16 |
| 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 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87545 |
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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.