CELINA M LUCHETTI


Address: 490a W Zia Rd, Suite 200, Santa Fe, NM 87505-6996
Phone: 5059883975

CELINA M LUCHETTI (NPI# 1568418697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568418697
Entity Type Individual
Full Name CELINA M LUCHETTI
Credential PA-C
Practice Address 490a W Zia Rd
Suite 200
Santa Fe
NM 87505-6996
Mailing Address 455 Saint Michaels Dr
Santa Fe
NM 87505-7601
Practice Telephone 5059883975
Practice Fax Number 5059868001
Mailing Telephone 5058025227
Enumeration Date 2006-05-26
Last Update Date 2007-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2003-0030 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MOLINA PROVP14189 01
NM 22537082 05
LOVELACE 10012822 01

Office Location

Street Address 490A W ZIA RD
SUITE 200
City SANTA FE
State NM
Zip Code 87505-6996

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588663306 Leanna J Scott-timperley Internal Medicine 490a W Zia Rd, Santa Fe, NM 87505-6996 2005-07-14
1013280056 Carolyn Sue Phillips Nurse Practitioner 490a W Zia Rd, Santa Fe, NM 87505-6996 2012-02-22
1922296656 Jennifer Porter Nurse Practitioner 490a W Zia Rd, Santa Fe, NM 87505-6996 2007-10-09
1033302625 Fei Gu Internal Medicine 490a W Zia Rd, Santa Fe, NM 87505-6996 2007-08-27
1750403259 Amber Reynolds Acupuncturist 490a W Zia Rd, Santa Fe, NM 87505-6996 2007-04-04
1508916875 Cheryll L Willin Nurse Practitioner 490a W Zia Rd, Santa Fe, NM 87505-6996 2007-01-11
1548340870 Scott Herbert Internal Medicine 490a W Zia Rd, Santa Fe, NM 87505-6996 2006-10-17
1588698369 Kathryn R Chan Internal Medicine 490a W Zia Rd, Santa Fe, NM 87505-6996 2006-07-10
1700816527 New Mexico Cancer Care Associates Specialist 490a W Zia Rd, Santa Fe, NM 87505-6996 2006-07-04
1487653176 David A Snyder Internal Medicine 490a W Zia Rd, Santa Fe, NM 87505-6996 2005-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427680750 Mckenzi Hoffman Physician Assistant 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 2020-02-05
1194172817 Jessica Curtin Physician Assistant 1640 Old Pecos Trl Ste H, Santa Fe, NM 87505-4777 2016-05-23
1003132093 Mitchell Constant Physician Assistant 1640 Old Pecos Trail, Suite H, Health Front, PC, Santa Fe, NM 87505 2010-04-15
1710137658 Carolyn A. Bauer Physician Assistant 1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 2008-09-29
1851572655 Claire Joan Antoszewski Physician Assistant 453 1/2 Amado St, Santa Fe, NM 87501-3700 2007-11-20
1801086111 Georgette M Cooper Physician Assistant 1301 Declovina St, Santa Fe, NM 87505-3215 2007-08-01
1053398636 Kimberly A Berge Physician Assistant 433 St Michaels Dr, Santa Fe, NM 87505 2005-12-27
1194389247 Alyssa K Broatch Physician Assistant 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2019-04-24
1043795909 Darina Linnik Physician Assistant 1631 Hospital Dr Ste 240, Santa Fe, NM 87505-7691 2018-09-26
1497266019 Lisa Ann Wermeling Physician Assistant 465 Saint Michaels Dr Ste 116, Santa Fe, NM 87505-7621 2017-10-23
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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