JILL TELLEZ (NPI# 1538359971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538359971 |
| Entity Type | Individual |
| Full Name | JILL TELLEZ |
| Credential | CNM |
| Practice Address |
2520 S Telshor Blvd Las Cruces NM 88011-4907 |
| Mailing Address |
Po Box 6310 Las Cruces NM 88006-6310 |
| Practice Telephone | 5755229793 |
| Practice Fax Number | 5755329019 |
| Mailing Telephone | 5755229793 |
| Mailing Fax Number | 5755229793 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 561 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 70672768 | 05 |
| Street Address |
2520 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021225 | Sangeeth Shanbhag Pai | Internal Medicine | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2005-05-23 |
| 1932498755 | Gabrielle Morgan Scharp | Midwife | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2011-04-01 |
| 1831498096 | Shirley Jeanette Hinshaw | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2011-03-26 |
| 1528201597 | New Mexico Primary Care Group P.C. | Internal Medicine | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2009-04-07 |
| 1457492795 | Gina M Fullbright | Nurse Practitioner | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2007-02-09 |
| 1861591927 | Shahrzad Tabibi | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011 | 2006-09-22 |
| 1851360655 | Darwana T Ratleff | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568982833 | Sabrina Michelle Paulos | Midwife | 1807 Wendale Ave, Las Cruces, NM 88001-3038 | 2017-06-27 |
| 1285903328 | Sara Marie Sanchez | Midwife | 2805 Devendale Ave, Las Cruces, NM 88005-1243 | 2011-12-19 |
| 1265570659 | Kathryn Shaw | Midwife | 1210 N Main St, Las Cruces, NM 88001-1102 | 2007-02-01 |
| 1932498755 | Gabrielle Morgan Scharp | Midwife | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2011-04-01 |
| 1740440809 | Nancy S Clark | Midwife | 390 Calle De Alegra, Las Cruces, NM 88005-3280 | 2008-06-12 |
| 1871773887 | Melissa Marie Bailey | Midwife | 1210 N Main St, Las Cruces, NM 88001-1102 | 2007-11-07 |
| 1255511325 | Circle of The Solitary | Midwife | 1210 N Main St, Las Cruces, NM 88001-1102 | 2007-11-06 |
| 1831214857 | First Step Center | Midwife | 390 Calle De Alegra, Las Cruces, NM 88005-3280 | 2007-03-20 |
| 1033250329 | Kathleen Ann Lemone | Midwife | 2801 Missouri Ave, Suite 12, Las Cruces, NM 88011-5075 | 2007-02-09 |
| 1164522009 | Margaret Doubrava | Midwife | 390 Calle De Alegra, Las Cruces, NM 88005 | 2006-09-22 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.