SERENA WALLER (NPI# 1316427081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316427081 |
| Entity Type | Individual |
| Full Name | SERENA WALLER |
| Practice Address |
112 Meadow Lake Rd Los Lunas NM 87031-9449 |
| Practice Telephone | 5058659652 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 88832 | NM | Nursing Service Providers |
| Street Address |
112 MEADOW LAKE RD |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-9449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568618767 | Jessica Castro | Psychologist | 112 Meadow Lake Rd, Los Lunas, NM 87031-9449 | 2008-08-07 |
| 1821503988 | April Ann Rentzsch | Registered Nurse | 112 Meadow Lake Rd, Los Lunas, NM 87031-9449 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890309 | Joy Lynn Harris | Registered Nurse | 24 Bendita Loma, Los Lunas, NM 87031-6897 | 2017-09-13 |
| 1396295606 | Kathryn Perea | Registered Nurse | 1044 Balboa Ct Se, Los Lunas, NM 87031-9240 | 2016-10-11 |
| 1114347317 | Lana Stanley | Registered Nurse | 680 Carrisa Ct Nw, Los Lunas, NM 87031-6964 | 2014-04-27 |
| 1396166104 | L E Rubin | Registered Nurse | 1776 Emilio Lopez Road, Los Lunas, NM 87031 | 2013-12-20 |
| 1043719982 | Jennifer Ann Garren | Registered Nurse | 22 Marlink, Los Lunas, NM 87031-5848 | 2018-02-06 |
| 1801395140 | Rance Irvin | Registered Nurse | 119 Luna St Se, Los Lunas, NM 87031-6814 | 2018-02-01 |
| 1821503988 | April Ann Rentzsch | Registered Nurse | 112 Meadow Lake Rd, Los Lunas, NM 87031-9449 | 2017-12-11 |
| 1063848349 | Celia Lynne Andrews | Registered Nurse | 328 Main St Ne, Los Lunas, NM 87031-7454 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720998 | Yolanda Arroyo-fontanez | Registered Nurse | 900 Boardman Dr Apt I89, Gallup, NM 87301-4748 | 2020-11-06 |
| 1164029252 | Cynthia (cindy) M Martin | Registered Nurse | 401 Rio Pecos Rd, Aztec, NM 87410-1646 | 2020-10-02 |
| 1497369862 | Maria R King | Registered Nurse | 2300 E 30th Street St B-106, Farmington, NM 87401-8740 | 2020-09-03 |
| 1962015032 | Sabrina Mar | Registered Nurse | 118 Ranger Ct, Cannon Afb, NM 88101-8439 | 2020-08-28 |
| 1871104174 | Tania Diaz | Registered Nurse | 1000 E Maple St, Deming, NM 88030-3814 | 2020-08-11 |
| 1477163269 | Zacilah Corral | Registered Nurse | 3200 N Silver St, Silver City, NM 88061-7259 | 2020-08-05 |
| 1811507254 | Karoline Kinney | Registered Nurse | 514 Maple St Se, Albuquerque, NM 87106-4831 | 2020-07-31 |
| 1699384537 | Audie Padilla | Registered Nurse | 2437 Cheyenne Dr, Las Cruces, NM 88011-8068 | 2020-07-27 |
| 1558988022 | Kila Y Michael | Registered Nurse | 5600 Omaha Rd, Roswell, NM 88203-9650 | 2020-07-01 |
| 1669093977 | Brenda L Carabajal | Registered Nurse | 200 W Santa Fe Ave, Grants, NM 87020-2530 | 2020-04-28 |
| 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.