MR. GREGORY TODD ECKSTEIN (NPI# 1316154982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316154982 |
| Entity Type | Individual |
| Full Name | MR. GREGORY TODD ECKSTEIN |
| Credential | RN |
| Practice Address |
1201 N 1st St Bloomfield NM 87413-5271 |
| Mailing Address |
1425 E Blanco Blvd Bloomfield NM 87413-6002 |
| Practice Telephone | 5056343501 |
| Practice Fax Number | 5056343584 |
| Mailing Telephone | 5056343501 |
| Mailing Fax Number | 5056343584 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R48383 | NM | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 64434826 | 05 |
| Street Address |
1201 N 1ST ST |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865496 | Kristi Phillips | Counselor | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2019-08-02 |
| 1851873798 | Albert Avery | Social Worker | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2018-09-06 |
| 1700088408 | Lorna F. Bulwan | Student in an Organized Health Care Education/Training Program | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2007-06-04 |
| 1336357342 | Georgina G. Alby | Specialist | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568679181 | Janet Lynn Simmons | Registered Nurse | 329 N Bergin Ln, Bloomfield, NM 87413-6729 | 2007-05-16 |
| 1992911275 | Jo Beth Fritz | Registered Nurse | 520 N 1st St, Bloomfield, NM 87413-5307 | 2007-05-15 |
| 1598363566 | Christina L Herbig | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2020-10-13 |
| 1568076438 | Amy Elliott | Registered Nurse | 310 W Sycamore Ave, Bloomfield, NM 87413-5844 | 2020-09-08 |
| 1144791310 | Sharlee Ashley | Registered Nurse | 310 La Jara St, Bloomfield, NM 87413-6626 | 2018-12-16 |
| 1134603442 | Aimee M Garrett | Registered Nurse | 520 N 1st St, Bloomfield, NM 87413-5359 | 2018-09-21 |
| 1609326453 | Cynthia L Miller | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-10-05 |
| 1508314964 | Karen Dennis | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1134677511 | Lisa Hamilton | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1750598835 | Bertha Ann Roark | Registered Nurse | 310 La Jara St, Bloomfield, NM 87413-6626 | 2007-05-17 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
Please comment or provide details below to improve the information on MR. GREGORY TODD ECKSTEIN.
| 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.