MICHELLE LYNN KECK (NPI# 1285271478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285271478 |
Entity Type | Individual |
Full Name | MICHELLE LYNN KECK |
Credential | NP-C |
Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5180 |
Practice Telephone | 5052651711 |
Mailing Telephone | 5052651711 |
Enumeration Date | 2019-12-06 |
Last Update Date | 2019-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
58158 | NM | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063470771 | Michelle Dannette Keck | Registered Nurse | 5060 Garlic Springs Way, Fort Irwin, CA 92310-2714 | 2006-05-02 |
Street Address |
1501 SAN PEDRO DR SE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87108-5180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
Find all providers in zip 87108 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841662095 | Barbara Lynn Edmunds-kimrey | Nurse Practitioner | 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 | 2015-10-28 |
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 |
1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
1184691479 | Doorstep Medical Consultants, LLC | Nurse Practitioner | 7236 Dancing Eagle Ave Ne, Albuquerque, NM 87113-1350 | 2006-03-05 |
1053891879 | Elizabeth Nieto | Nurse Practitioner | 3821 Masthead St Ne, Albuquerque, NM 87109 | 2018-08-21 |
1932685807 | Joan Brown | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-07-13 |
1295279156 | Susan Marie Robinson | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2016-12-12 |
1699179119 | Alanna Dancis | Nurse Practitioner | 1101 Medical Arts Ave Ne, Building 4, Suite A, Albuquerque, NM 87102-2706 | 2014-10-13 |
1912262395 | Diane Muzenjak | Nurse Practitioner | 1100 Central Ave Se, Presbyterian Heart Group, Albuquerque, NM 87110 | 2012-07-11 |
1689947038 | Joanna A.s. Brightwater | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2012-02-15 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87108 |
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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.