NICOLE LUCERO (NPI# 1649627803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649627803 |
| Entity Type | Individual |
| Full Name | NICOLE LUCERO |
| Credential | RN |
| Practice Address |
3400 Elks Dr Las Cruces NM 88005-1120 |
| Mailing Address |
505 S Main St Ste 249 Las Cruces NM 88001-1206 |
| Practice Telephone | 5755279536 |
| Practice Fax Number | 5755279762 |
| Mailing Telephone | 5755275884 |
| Mailing Fax Number | 5755275886 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R64640 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568010791 | Nicole Johanna Lucero | Student in an Organized Health Care Education/Training Program | 292 Oak St, Patchogue, NY 11772-2919 | 2019-08-30 |
| 1609383090 | Nicole Chavez Lucero | Occupational Therapy Assistant | 1350 Hillrise Cir, Las Cruces, NM 88011-4759 | 2018-01-07 |
| 1124559489 | Nicole Anne Lucero | Dietitian, Registered | 1324 Lakeland Hills Blvd, Lakeland Regional Health Diabetes Dept., Lakeland, FL 33805 | 2017-03-27 |
| Street Address |
3400 ELKS DR |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1134542186 | Dawn Loree Schallock | Registered Nurse | 4675 Peachtree Hills Rd., Las Cruces, NM 88012 | 2014-01-28 |
| 1396166070 | Joyce Anglin | Registered Nurse | 505 S.main. Ste 249, Las Cruces, NM 88001 | 2013-12-23 |
| 1962823914 | Brandi Gorzeman | Registered Nurse | 505 S. Main, Las Cruces, NM 88001 | 2013-12-18 |
| 1366863300 | Teofilo Aguilar Carrasco Iv | Registered Nurse | 226 Carver Rd, Las Cruces, NM 88005-3544 | 2013-12-18 |
| 1255752200 | Melody Stryker | Registered Nurse | 5300 Holman Rd, Las Cruces, NM 88012-7004 | 2013-12-18 |
| 1659792653 | Kristine Kay Hanson | Registered Nurse | 1700 Spruce Ave, Las Cruces, NM 88001-2445 | 2013-12-18 |
| 1619398617 | Leah Wallis | Registered Nurse | 4201 Northrise Dr., Las Cruces, NM 88011 | 2013-12-18 |
| 1699196659 | Phyllis Roberts | Registered Nurse | 4501 W Picacho Ave, Las Cruces, NM 88007-4823 | 2013-12-18 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on NICOLE LUCERO.
| 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.