TERRI DAWN FORTNER (NPI# 1669796652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669796652 |
| Entity Type | Individual |
| Full Name | TERRI DAWN FORTNER |
| Credential | PMHNP-BC |
| Practice Address |
1001 W. Broadway Farmington NM 87401 |
| Mailing Address |
1001 W Broadway Farmington NM 87401-5638 |
| Practice Telephone | 5053250238 |
| Practice Fax Number | 5053277247 |
| Mailing Telephone | 5053250238 |
| Mailing Fax Number | 5053277247 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP01563 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 W. BROADWAY |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104137397 | Joell Kimberly Jones | Behavioral Analyst | 1001 W. Broadway, Farmington, NM 87401 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376042069 | Andrea Louise Crawford | Nurse Practitioner | 205 W Harrison St, Farmington, MO 63640-2509 | 2018-02-07 |
| 1235505694 | Suzanne Alexis | Nurse Practitioner | 218 Fairbanks Rd, Farmington, ME 04938-5773 | 2015-08-19 |
| 1912166844 | Cathy B Poe | Nurse Practitioner | 234 N Schwartz Ave, Farmington, NM 87401-5547 | 2008-06-05 |
| 1922276708 | Anastasia Okoniewski | Nurse Practitioner | University of Ct Health Center, 263 Farmington Avenue Mc2103, Farmington, CT 06030-0001 | 2008-02-14 |
| 1770542524 | Heather Lee Spear | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2006-03-21 |
| 1558347385 | Sylvia Irene Ingerson | Nurse Practitioner | 213 Titcomb Hill Rd, Unit B4, Farmington, ME 04938-5639 | 2005-12-22 |
| 1538142435 | Jill Leslie Duboff-jacomini | Nurse Practitioner | 10 Talcott Notch Rd, Farmington, CT 06032-1800 | 2005-11-23 |
| 1770192106 | Sarah Theo Porter | Nurse Practitioner | 291 S 200 W, Farmington, UT 84025-2419 | 2020-07-31 |
| 1508491853 | Babitha Mathew | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2020-03-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on TERRI DAWN FORTNER.
| 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.