MS. SUSAN SHELDON OLIVE (NPI# 1487291464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487291464 |
| Entity Type | Individual |
| Full Name | MS. SUSAN SHELDON OLIVE |
| Credential | PA |
| Practice Address |
199 Highway 50 Pecos NM 87552 |
| Mailing Address |
306 Wallaceville Rd Titusville PA 16354-8462 |
| Practice Telephone | 5057576482 |
| Mailing Telephone | 8146773465 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2019-0113 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
199 HIGHWAY 50 |
| City | PECOS |
| State | NM |
| Zip Code | 87552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671954 | Julastene Dyer-moore | Dentist | 199 Highway 50, Pecos, NM 87552 | 2011-04-10 |
| 1922656404 | Presbyterian Medical Services | Clinic/Center | 199 Highway 50, Pecos, NM 87552 | 2019-08-28 |
| 1972076172 | Dina Bowen | Registered Nurse | 199 Highway 50, Pecos, NM 87552-8755 | 2019-01-10 |
| 1730651340 | Joshua Brandon Trujillo | Peer Specialist | 199 Highway 50, Pecos, NM 87552 | 2018-12-20 |
| 1255803862 | Dianna Virginia Jaramillo | Peer Specialist | 199 Highway 50, Pecos, NM 87552-0710 | 2018-12-20 |
| 1467935593 | Casey Ann Applegate-aguilar | Counselor | 199 Highway 50, Pecos, NM 87552 | 2018-09-14 |
| 1528486800 | Claudia Quan | Dentist | 199 Highway 50, Pecos, NM 87552 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1437653060 | Caitlin Thomas | Nurse Practitioner | Pecos Valley Medical Center 199 Hwy 50, Pecos, NM 87552 | 2018-03-20 |
| 1609393636 | Graciella Liliana Valencia-varela | Behavior Technician | #03 West Chamisa Spur, 03, Pecos, NM 87552 | 2017-08-30 |
| 1497146690 | Scott Temple | Social Worker | 199 Nm Highway 50, Pecos, NM 87552 | 2015-02-10 |
| 1316267073 | Lida Valencia | Counselor | 199 Nm-50, Pecos, NM 87552 | 2010-06-04 |
| 1801927264 | Pecos Independent School District | Local Education Agency (LEA) | Pecos Independent School District, North Highway 63, Pecos, NM 87552 | 2007-03-08 |
| 1629150610 | Susan Upton Lovro | Physician Assistant | 3 Highway 50, #d, Pecos, NM 87552 | 2006-10-19 |
| 1730150178 | Lucien David Young | Internal Medicine | 199 Nm Hwy 50, Pecos, NM 87552 | 2006-02-01 |
| 1750854592 | Monica Jean Robbins | Massage Therapist | 62 South Main St, Pecos, NM 87552 | 2019-01-04 |
| 1164907010 | Behavior Analysis Services, Inc. | Behavioral Analyst | 14 Raven Ridge Road, Pecos, NM 87552 | 2018-09-26 |
| Find all providers in zip 87552 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811244221 | Brandi Kay Eakin | Physician Assistant | 2323 Texas St, Pecos, TX 79772-7338 | 2012-08-06 |
| 1750425773 | Michele Hughes-cser | Physician Assistant | 2323 Texas St, Pecos, TX 79772-7338 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| 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.