MONICA ANDREA JESSUP (NPI# 1659303238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659303238 |
| Entity Type | Individual |
| Full Name | MONICA ANDREA JESSUP |
| Other Name | MONICA JESSUP VANUWAVER |
| Credential | DPM |
| Practice Address |
516 E. Nizhoni Blvd. Gallup NM 87301-1337 |
| Mailing Address |
516 E. Nizhoni Blvd. Box 1337 Gallup NM 87301-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221496 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221496 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 548 | SC | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 451 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 015586 | 05 | |
| NM | 13022075 | 05 |
| Street Address |
516 E. NIZHONI BLVD. |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347348 | Francisca V. Lytle | Specialist | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-06-23 |
| 1104271642 | Alicia Slim | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301 | 2016-05-03 |
| 1760868681 | Pamela Dennis | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301 | 2015-08-03 |
| 1629486808 | Sarah Strehlow | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2014-07-31 |
| 1902244288 | Cheryl Morris | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2013-06-10 |
| 1699111237 | Benjamin Daniel Johnson | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87301-5748 | 2013-05-21 |
| 1144568494 | Jerita Lynn Harker | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2013-01-22 |
| 1598028201 | Eric D. Johansen | Optometrist | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2012-06-18 |
| 1467787911 | Jennie Wei | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87305-1337 | 2009-10-15 |
| 1942435474 | Mia Kristen Lozada | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047846 | William Brant Hesidence II | Podiatrist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2005-07-18 |
| 1710993092 | Elbert Norris | Podiatrist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-07-31 |
| 1457383341 | Alan W Streigold | Podiatrist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710360037 | Yvonne Miriaku Muojieje | Podiatrist | 4500 N Sonoma Ranch Blvd, Las Cruces, NM 88011-7334 | 2015-07-06 |
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1396146957 | Stephanie Gonzalez | Podiatrist | 4151 Camino Coyote Ste B, Las Cruces, NM 88011-7096 | 2014-09-12 |
| 1699060202 | Juan Tabo Foot Health Center, PC | Podiatrist | 1925 Juan Tabo Blvd Ne, Suite D, Albuquerque, NM 87112-3366 | 2011-06-10 |
| 1043518335 | Center for Foot Care, Ltd | Podiatrist | 3064 Plaza Blanca, Santa Fe, NM 87507 | 2011-03-10 |
| 1891954657 | Theodore L Varoz Dpm | Podiatrist | 1204 Candelaria Rd Nw, Albuquerque, NM 87107-2766 | 2008-06-06 |
| 1710175872 | J Garey Ritchie | Podiatrist | 904 E 20th St Ste C, Farmington, NM 87401-4281 | 2007-10-13 |
| 1811197346 | Attlee Becenti Benally | Podiatrist | 1 Sagebrush Rd., Isleta Pueblo Diabetic Clinic, Isleta, NM 87022 | 2007-07-23 |
| 1922219203 | Albuquerque Associated Podiatrists | Podiatrist | 121 Sycamore St Ne, Albuquerque, NM 87106-4622 | 2007-05-25 |
| 1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MONICA ANDREA JESSUP.
| 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.