MS. BRIDGET CORNELL ANDREW (NPI# 1649279266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649279266 |
| Entity Type | Individual |
| Full Name | MS. BRIDGET CORNELL ANDREW |
| Credential | PA,MPH |
| Practice Address |
1035 Alto St La Familia Medical Center Santa Fe NM 87501-2406 |
| Practice Telephone | 5059824425 |
| Practice Fax Number | 5059826280 |
| Mailing Telephone | 5059824425 |
| Mailing Fax Number | 5059826280 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2013-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
005692-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
566 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2822 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2009-043 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z4167 | 05 |
| Street Address |
1035 ALTO ST LA FAMILIA MEDICAL CENTER |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679009666 | Bethany Richards | Family Medicine | 1035 Alto St, Santa Fe, NM 87501-2406 | 2017-05-11 |
| 1588106363 | Kimberly M Lopez | Nurse Practitioner | 1035 Alto St, Santa Fe, NM 87501-2406 | 2016-11-10 |
| 1841661220 | Sue E Minturn | Health Educator | 1035 Alto St, Santa Fe, NM 87501-2406 | 2015-10-12 |
| 1477922409 | La Familia Medical Center | Clinic/Center | 1035 Alto St, Santa Fe, NM 87501-2406 | 2015-09-21 |
| 1710384383 | La Familia Medical Center | Clinic/Center | 1035 Alto St, Santa Fe, NM 87501-2406 | 2014-11-26 |
| 1245641836 | Susan Frances Griggs | Nurse Practitioner | 1035 Alto St, Santa Fe, NM 87501-2406 | 2014-05-16 |
| 1376986620 | Paula A Summar | Counselor | 1035 Alto St, Santa Fe, NM 87501-2406 | 2013-04-16 |
| 1295091007 | Lauren Elyse Waltersdorf | Family Medicine | 1035 Alto St, Santa Fe, NM 87501-2406 | 2012-04-05 |
| 1700162344 | Laura M Mccann | Dietitian, Registered | 1035 Alto St, Santa Fe, NM 87501-2406 | 2011-10-27 |
| 1457630618 | Carolina Cuellar | Registered Nurse | 1035 Alto St, Santa Fe, NM 87501-2406 | 2011-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871674911 | April C. Grisetti | Physician Assistant | 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505-7709 | 2006-10-17 |
| 1871673608 | Bonnie J Giacchetti | Physician Assistant | 2055 Pacheco St Ste 600, Santa Fe, NM 87505 | 2006-10-16 |
| 1639192792 | Sheila O'shea Gibbens | Physician Assistant | 820 Paseo Deperlta, Santa Fe, NM 87501-2233 | 2006-07-26 |
| 1740201672 | Danny M Mays | Physician Assistant | 1650 Hospital Dr Ste 800, Santa Fe, NM 87505-4789 | 2006-07-23 |
| 1841217403 | Wabanang Gaiashkibos Kuczek | Physician Assistant | 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 | 2006-07-17 |
| 1346201704 | Timothy Busch | Physician Assistant | 5 Calle Medico Ste A, Santa Fe, NM 87505-4762 | 2006-03-28 |
| 1730181942 | William T Bacon | Physician Assistant | 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752 | 2005-06-01 |
| 1265084883 | Brianna Zuniga | Physician Assistant | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-07-13 |
| 1669879771 | Karen Conner | Physician Assistant | 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 | 2014-12-04 |
| 1225457260 | Forouz Jowkar LLC | Physician Assistant | 1925 Aspen Dr, # 100b, Santa Fe, NM 87505-5459 | 2014-04-07 |
| Find all providers in SANTA FE | ||||
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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.