PERMIAN BASIN BRAIN WORKS INC (NPI# 1619516358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619516358 |
| Entity Type | Organization |
| Organization Name | PERMIAN BASIN BRAIN WORKS INC |
| Practice Address |
1601 N Turner St Ste 405 Hobbs NM 88240-4331 |
| Mailing Address |
Po Box 3843 Hobbs NM 88241-3843 |
| Practice Telephone | 5759642332 |
| Practice Fax Number | 5756802540 |
| Mailing Telephone | 5759642232 |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | LANONA REZAC (PRESIDENT) |
| Authorized Official Telephone | 5759642232 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 N TURNER ST STE 405 |
| City | HOBBS |
| State | NM |
| Zip Code | 88240-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676430 | Dma Professional Services, LLC | Dentist | Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 | 2019-12-18 |
| 1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
| 1427553668 | Ahrang Lee | Pharmacist | 1225 North Turner, Hobbs, NM 88240 | 2018-03-29 |
| 1881100907 | George E. Jossell | Pharmacist | 5419 N Lovington Highway, Hobbs, NM 88240 | 2017-12-27 |
| 1912445495 | Brittany Briseno | Social Worker | 615 West Broadway, Suite 2, Hobbs, NM 88240 | 2017-02-06 |
| 1780122291 | Valerie Kleespies | Social Worker | 215 West Broadway Street, Suite 2, Hobbs, NM 88240 | 2017-02-03 |
| 1841693082 | Cecillia Anna Espinoza | Counselor | 215 W. Broadway N#1, Hobbs, NM 88240 | 2014-10-02 |
| 1982020814 | Jennifer Pyeatt | Pharmacist | 715 W Bender, Hobbs, NM 88240 | 2014-03-17 |
| 1952738627 | Carlos Alberto Revelo | Internal Medicine | 3028 N Grimes St, Hobbs, NM 88240 | 2013-09-26 |
| 1710232665 | Border Dental Billing LLC | Dentist | Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2012-07-17 |
| Find all providers in zip 88240 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194210898 | Lanona D Rezac | Nurse Practitioner | 1601 N Turner St, Ste 405, Hobbs, NM 88240-4331 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1417573338 | Awareness Integration LLC | Nurse Practitioner | 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124-1760 | 2020-06-17 |
| 1053933721 | Canu Health, LLC | Nurse Practitioner | 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 | 2020-05-15 |
| 1477173896 | Diane Johnston, Pmhnp, LLC | Nurse Practitioner | 1619 Villa Strada, Santa Fe, NM 87506-4512 | 2020-04-27 |
| 1245869130 | Indigo Psychiatric Services | Nurse Practitioner | 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 | 2020-04-03 |
| 1912534058 | Meredith Gamez | Nurse Practitioner | 5503 Grove Dr, Sunland Park, NM 88063-9594 | 2020-03-26 |
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1689237380 | Bianca Lopez, LLC | Nurse Practitioner | 224 Anthony Dr, Anthony, NM 88021-9366 | 2019-04-17 |
| 1215400726 | Albert Hernandez Jr. | Nurse Practitioner | 5690 Santa Teresita Dr Ste A2, Santa Teresa, NM 88008-9211 | 2019-01-07 |
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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.