LARISSA BALDONADO (NPI# 1730691742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730691742 |
| Entity Type | Individual |
| Full Name | LARISSA BALDONADO |
| Credential | RN |
| Practice Address |
236 Don Pasqual Rd Nw Los Lunas NM 87031 |
| Mailing Address |
970 Carnival Ct Nw Los Lunas NM 87031-7470 |
| Practice Telephone | 5058656223 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN-82564 | NM | Nursing Service Providers |
| Street Address |
236 DON PASQUAL RD NW |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326548355 | Dana Tapia | Registered Nurse | 49 Camino La Canada, Los Lunas, NM 87031-8177 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185948 | Trinity Christian Camps, Ltd | Registered Nurse | 1698 S Roosevelt Road 13, Portales, NM 88130-8705 | 2018-08-27 |
| 1841796224 | Patricia Mccarty | Registered Nurse | 49 Twin Peaks Rd Se, Albuquerque, NM 87123-3906 | 2018-04-03 |
| 1639579352 | Cynthia Brooks | Registered Nurse | 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 | 2014-08-29 |
| 1457698714 | Diane M Broome | Registered Nurse | 11a Leaping Powder Rd, Santa Fe, NM 87508-5923 | 2013-01-07 |
| 1588948905 | Catherine Mary Yarmey-legg | Registered Nurse | 1621 Saratoga Dr Ne, Rio Rancho, NM 87144-1511 | 2011-10-04 |
| 1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
| 1023137155 | Cynthia Fraser | Registered Nurse | 516 Nizhoni Boulevard, Bldg. F, Gimc, Phn, Gallup, NM 87301 | 2007-03-28 |
| 1194802017 | James Lee Sutton | Registered Nurse | Jicarilla Health Care Facility, 12000 Stone Lake Rd, Pob 187, Dulce, NM 87528 | 2006-11-01 |
| 1639272974 | Valerie F Long | Registered Nurse | Dulce Health Center, 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2006-09-05 |
| 1508463894 | Clara Godwin | Registered Nurse | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-10-08 |
| 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.