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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0069272 | NM | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 18677037 | 05 | |
NM | 53227000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396192274 | Sandra Wilder | Registered Nurse | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2016-05-19 |
Street Address |
1900 E. 10TH STREET |
City | ALAMOGORDO |
State | NM |
Zip Code | 88310 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 88310 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in ALAMOGORDO |
City | ALAMOGORDO |
Zip Code | 88310 |
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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.