MRS. SANDRA WILDER


Address: 1900 E. 10th Street, Alamogordo, NM 88310
Phone: 5754377404

MRS. SANDRA WILDER (NPI# 1629083084) 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) 1629083084
Entity Type Individual
Full Name MRS. SANDRA WILDER
Credential LPCC
Practice Address 1900 E. 10th Street
Alamogordo
NM 88310
Mailing Address 1320 S. Solano
Las Cruces
NM 88001
Practice Telephone 5754377404
Practice Fax Number 5754392860
Mailing Telephone 5755277900
Mailing Fax Number 5755714872
Enumeration Date 2006-07-31
Last Update Date 2014-03-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0069272 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 18677037 05
NM 53227000 05

Other Providers SANDRA WILDER

NPI Name Taxonomy Address Enumeration
1396192274 Sandra Wilder Registered Nurse 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 2016-05-19

Office Location

Street Address 1900 E. 10TH STREET
City ALAMOGORDO
State NM
Zip Code 88310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184064370 Donna T. Lawrence Social Worker 1900 E. 10th Street, Alamogordo, NM 88310 2013-07-02
1932441805 Marybeth Frances Reynolds Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2013-03-19
1407196082 Veronica Chavez Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2013-02-19
1861737850 Cassandra Alejandro Counselor 1900 E. 10th Street, Alamogordo, NM 88310 2012-12-03
1326324500 Carrie Elizabeth Hornback Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2011-11-01
1417232158 Evelynne Grace Marie Baca Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2011-10-13
1275811622 Leslie B. Shired Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2011-08-02
1508151077 Grace Melissa Coyazo Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2011-06-13
1518260710 Chaka Iruka Proulx Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310 2010-12-09
1386977452 Scott A Hiatt Case Manager/Care Coordinator 1900 E. 10th Street, Alamogordo, NM 88310-5053 2009-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249326 Diana Cano Behavior Technician 27 N. Yucca Ave, Alamogordo, NM 88310 2020-09-15
1952802787 Kinfe H Alemnugus Pharmacist 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 2018-02-27
1134666902 Hillary Elizabeth Hunter Behavior Technician 1908 Snow Dr, Alamogordo, NM 88310 2017-01-31
1285097774 Adrienne Nicole Martin Physician Assistant 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 2016-04-01
1487022919 Crystal Jackson Behavior Technician 3205 Shawnee Trl, Alamogordo, NM 88310 2015-09-15
1851788798 Timothy W. Basha Counselor 1613 Juniper Dr., Alamogordo, NM 88310 2015-04-17
1215331186 Keith Edward Gerber Case Manager/Care Coordinator 1900 East Tenth Street, Alamogordo, NM 88310 2014-10-21
1710306691 Austin Reed Pharmacist 2401 Indian Wells, Alamogordo, NM 88310 2014-04-08
1760821805 Dollar Cab Company Taxi 1220 Brooks Ave., Alamogordo, NM 88310 2013-06-21
1932544319 Peter Allan Lock Physical Therapist 1011 A 10th Street, Alamogordo, NM 88310 2013-04-30
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942784798 Huffman Counseling Services LLC Counselor 720 S White Sands Blvd Ste A, Alamogordo, NM 88310-7201 2018-09-18
1538269238 Dawn A Garrett Counselor 407 Sunset Ave, Alamogordo, NM 88310-4146 2006-09-22
1366459778 Sandra G. Jackson Counselor 1900 E. Tenth Street, Alamogordo, NM 88310 2006-08-01
1669487104 Armando Rhoades Counselor 1900 E. 10th St., Alamogordo, NM 88310 2006-07-31
1588682868 Donna Ray` Mohr Counselor 916 N White Sands Blvd, Alamogordo, NM 88310-6926 2006-07-17
1952955858 Kate Brown Counselor 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 2019-07-29
1497318349 Grace Counseling Services, LLC Counselor 720 S White Sands Blvd Ste A, Alamogordo, NM 88310-7201 2019-04-16
1609349307 Alexandra Wofford, LLC Counselor 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 2019-01-04
1982183695 Alexandra Wofford Counselor 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 2018-08-13
1235673815 Changing Attitudes Transformational Counseling Counselor 1213 Michigan Ave, Alamogordo, NM 88310-6725 2016-12-15
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Competitor

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City ALAMOGORDO
Zip Code 88310

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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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