MS. VICKY L SPARKS FREEMAN (NPI# 1376638411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376638411 |
| Entity Type | Individual |
| Full Name | MS. VICKY L SPARKS FREEMAN |
| Credential | MT ASPC CLS NCA |
| Practice Address |
1090 Goat Springs Road Taos Picuris Indian Health Center Taos NM 87571 |
| Mailing Address |
Po Box 1956 Taos Picuris Indian Health Center Taos NM 87571 |
| Practice Telephone | 5057584224 |
| Practice Fax Number | 5057515211 |
| Mailing Telephone | 5057584224 |
| Mailing Fax Number | 5057515211 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1090 GOAT SPRINGS ROAD TAOS PICURIS INDIAN HEALTH CENTER |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532119 | Brenda J Burdick | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571-1094 | 2006-06-05 |
| 1164022562 | Brock Reed | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2020-10-27 |
| 1952865776 | Regina Perryman | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1255895090 | Audrey Lujan | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1285198028 | Debra Wright | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1275000887 | Erica Diane Medina | Dental Hygienist | 1090 Goat Springs Road, Taos, NM 87571 | 2018-11-01 |
| 1235410515 | Kellie Ann P Goudreau | Physician Assistant | 1090 Goat Springs Road, Taos, NM 87571 | 2011-08-31 |
| 1962712109 | Kirsten Rogoff | Marriage & Family Therapist | 1090 Goat Springs Road, Taos, NM 87571-0174 | 2010-10-20 |
| 1689995953 | Carmine Dimartino | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571 | 2010-06-21 |
| 1689908147 | Talia R. Wood | Dietitian, Registered | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2009-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600556 | Ruben Costales Nanez | Spec/Tech, Pathology | 661 Wendy Ln, Las Cruces, NM 88007-5324 | 2020-02-09 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1427348051 | Ronald Valer Marmash | Spec/Tech, Pathology | 3113 Britt St Ne, Albuquerque, NM 87111-4954 | 2011-04-16 |
| 1639399967 | Patrick Norman Vigil II | Spec/Tech, Pathology | 318 Abalone Loop Rd, Mescalero, NM 88340 | 2007-04-27 |
| 1508138660 | Marie Tallent Deloach | Spec/Tech, Pathology | 500 North Mundo, Dulce, NM 87528 | 2012-02-06 |
| 1487805198 | Anna V. Hall | Spec/Tech, Pathology | 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2008-10-01 |
| 1609935931 | Suzanna Duran | Spec/Tech, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2006-12-06 |
Please comment or provide details below to improve the information on MS. VICKY L SPARKS FREEMAN.
| 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.