MRS. SHAWN DRAGOO (NPI# 1629258108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629258108 |
| Entity Type | Individual |
| Full Name | MRS. SHAWN DRAGOO |
| Credential | RN |
| Practice Address |
206 Sudderth Dr Ruidoso NM 88345-6001 |
| Mailing Address |
1900 10th St Alamogordo NM 88310-5053 |
| Practice Telephone | 5752575038 |
| Practice Fax Number | 5752572312 |
| Mailing Telephone | 5754377404 |
| Mailing Fax Number | 5754392860 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN032523 | AZ | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R56676 | NM | Nursing Service Providers |
| Street Address |
206 SUDDERTH DR |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417968165 | Julie Wilkinson | Counselor | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2006-08-10 |
| 1619278496 | Suzanne Bernardi | Counselor | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2010-11-09 |
| 1841511029 | Eleanor Suzanne Dunn | Registered Nurse | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2010-06-22 |
| 1073746970 | Leanne Eulett | Case Manager/Care Coordinator | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2009-08-26 |
| 1083884654 | Andrea R. Holland | Counselor | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2008-03-10 |
| 1669678322 | Karen Ginsberg | Registered Nurse | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2007-06-21 |
| 1053423046 | Barbara Birdsong | Counselor | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841511029 | Eleanor Suzanne Dunn | Registered Nurse | 206 Sudderth Dr, Ruidoso, NM 88345-6001 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574278 | Kimberly Ann Justice | Registered Nurse | 2620 Fred Daugherty Ave, Clovis, NM 88101-8636 | 2020-06-28 |
| 1851818157 | Karen L Jones | Registered Nurse | 5 Bisbee Ct # 109-96, Santa Fe, NM 87508-1397 | 2017-08-28 |
| 1720517006 | Christine Margaret Sanchez | Registered Nurse | 700 2nd St. Nw, Albuquerque, NM 87102 | 2017-06-08 |
| 1871852178 | Margaret A. Wood | Registered Nurse | 2351 25th St, Unit B, Alamogordo, NM 88310-8722 | 2012-05-08 |
| 1497987044 | Luxana Chanprakrit | Registered Nurse | 2552 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2009-08-17 |
| 1932372935 | Debra Stanger | Registered Nurse | 8605 Vineyard Ridge Rd Ne, Albuquerque, NM 87122-2623 | 2008-04-10 |
| 1366659161 | Selene Mendoza | Registered Nurse | 1161 Mall Dr, Ste. C, Las Cruces, NM 88011-8193 | 2007-05-17 |
| 1093937450 | Pamela Rae Field | Registered Nurse | 5305 Mountain Rd Ne, Albuquerque, NM 87110-6417 | 2007-05-03 |
| 1790704427 | Karen L. Lee | Registered Nurse | 1980 E Lohman Ave Ste B, Las Cruces, NM 88001-3194 | 2006-07-19 |
| 1356332852 | Walter Kerry Viers | Registered Nurse | 500 Shelly Rd. S.w., Albuquerque, NM 87151-0001 | 2005-11-03 |
| Find all providers with the same taxonomy | ||||
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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.