ALYSSA LIGHTBOURN (NPI# 1477900447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477900447 |
| Entity Type | Individual |
| Full Name | ALYSSA LIGHTBOURN |
| Practice Address |
305 Alto Vista Dr Sunland Park NM 88063-9116 |
| Mailing Address |
Po Box 70 Anthony NM 88021-0070 |
| Practice Telephone | 5755891114 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
788941 | TX | Nursing Service Providers |
| Street Address |
305 ALTO VISTA DR |
| City | SUNLAND PARK |
| State | NM |
| Zip Code | 88063-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194229138 | Ana M Garcia | Registered Nurse | 305 Alto Vista Dr, Sunland Park, NM 88063-9116 | 2018-03-23 |
| 1861911141 | Angela Peterson | Registered Nurse | 305 Alto Vista Dr, Sunland Park, NM 88063-9116 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801258 | Kristina Sutton | Speech-Language Pathologist | 4950 Mcnut Road, Sunland Park, NM 88063 | 2014-08-22 |
| 1609147313 | Sonia Maldonado | Counselor | 101 Maguey Court, Suite 1, Sunland Park, NM 88063 | 2012-01-26 |
| 1902027501 | Marsha Brand | Speech-Language Pathologist | 4950 Mcnutt Road, Sunland Park, NM 88063 | 2007-05-01 |
| 1114143393 | Gadsden Independent School District | Local Education Agency (LEA) | 4950 Mcnutt Rd, Sunland Park, NM 88063 | 2007-04-17 |
| 1275658254 | Irma Carrasco | Specialist | 4950 Mc Nutt Rd, Anthony, NM 88063 | 2007-03-20 |
| 1881065944 | Srikanthi Saladi | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2015-10-15 |
| 1497162929 | Leticia Castillo | Social Worker | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-07-16 |
| 1477968246 | Anne Roberti | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-06-30 |
| 1922449560 | Sucharitha Meka | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2013-07-11 |
| 1861745572 | Juliana Moran | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88063 | 2012-10-18 |
| Find all providers in zip 88063 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245741 | Sandra Perez | Registered Nurse | 4085 Mcnutt Rd, Sunland Park, NM 88063-9050 | 2016-06-10 |
| 1811343379 | Sherri Althouse X | Registered Nurse | 1105 Valle Vista Dr, Sunland Park, NM 88063-9251 | 2016-05-13 |
| 1194229138 | Ana M Garcia | Registered Nurse | 305 Alto Vista Dr, Sunland Park, NM 88063-9116 | 2018-03-23 |
| 1861911141 | Angela Peterson | Registered Nurse | 305 Alto Vista Dr, Sunland Park, NM 88063-9116 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702901 | Charlotte Carter | Registered Nurse | 7th and Elm St, San Jon, NM 88434 | 2020-08-28 |
| 1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
| 1366052987 | Katrina Reyes | Registered Nurse | 9 Basalt Dr, Silver City, NM 88061-8961 | 2020-08-07 |
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1962012096 | Donna Lee Rodarte | Registered Nurse | 4th Street & Parque Ave, Maxwell, NM 87728 | 2020-08-04 |
| 1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1124677232 | Sunni Rhea Osborn | Registered Nurse | 309 N. Apple, House, NM 88121-0673 | 2019-09-11 |
| 1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
| 1265087886 | Sheena Danielle Zemke | Registered Nurse | 2 Albert Ln, Los Lunas, NM 87031-7604 | 2019-08-09 |
| Find all providers with the same taxonomy | ||||
| City | SUNLAND PARK |
| Zip Code | 88063 |
Please comment or provide details below to improve the information on ALYSSA LIGHTBOURN.
| 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.