KORYN KIESLING MICHAUD (NPI# 1750781316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750781316 |
| Entity Type | Individual |
| Full Name | KORYN KIESLING MICHAUD |
| Credential | FNP-C |
| Practice Address |
1329 Gusdorf Rd Taos NM 87571 |
| Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
| Practice Telephone | 7577373415 |
| Mailing Telephone | 5052627963 |
| Mailing Fax Number | 5052321627 |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
53742 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | UNKNOWN | 1617165 | 01 |
| Street Address |
1329 GUSDORF RD |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903913 | Wendy M Kaggerud | Midwife | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2005-09-26 |
| 1831677343 | Kelly Reagan | Nurse Practitioner | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2018-08-06 |
| 1235597964 | Taos Professional Services, LLC | General Practice | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2016-02-09 |
| 1033307897 | Naomi Hannah | Midwife | 1329 Gusdorf Rd, Whi, Taos, NM 87571-6282 | 2007-10-05 |
| 1053458240 | Moms LLC | Clinic/Center | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2007-01-30 |
| 1194870469 | Linda Friedman | Nurse Practitioner | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2007-01-24 |
| 1306999032 | Moms LLC | Specialist | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2007-01-18 |
| 1184654311 | Shanti Indira Mohling | Obstetrics & Gynecology | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2006-07-04 |
| 1760411805 | Women's Health Institute | Obstetrics & Gynecology | 1329 Gusdorf Rd, Taos, NM 87571-6282 | 2006-07-01 |
| 1730147497 | Tim J Moore | Obstetrics & Gynecology | 1329 Gusdorf Rd, Taos, NM 87571 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808126 | Compassion Docs LLC | Nurse Practitioner | 8100 Wyoming Blvd Ne Ste M-4302, Albuquerque, NM 87113-1946 | 2020-10-11 |
| 1598398216 | Melissa Rose Pino | Nurse Practitioner | 10855 Firenze Dr Nw, Albuquerque, NM 87114-5287 | 2020-02-20 |
| 1043857410 | Elizabeth F Baca | Nurse Practitioner | 2502 Marble Ave, Albuquerque, NM 87131-0001 | 2019-12-04 |
| 1386108546 | Patricia Shepard | Nurse Practitioner | 1410 N 8th St Ste B, Carlsbad, NM 88220-3217 | 2019-01-22 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1023255510 | Valencia Family Medicine & Express Care | Nurse Practitioner | 311 S. Los Lentes, Los Lunas, NM 87031 | 2009-01-21 |
| 1356358477 | Mary Louise Blankenship | Nurse Practitioner | 3200 La Orilla Rd Nw, Albuquerque, NM 87120-2742 | 2006-08-02 |
| 1861093825 | Lesley Roller | Nurse Practitioner | 328 Main St Ne, Los Lunas, NM 87031-7454 | 2020-11-05 |
| 1003415753 | Jessica Wood | Nurse Practitioner | 1400 Main St Nw, Los Lunas, NM 87031-4812 | 2020-10-23 |
| 1023620143 | Chona Miller | Nurse Practitioner | 1500 Lomas Blvd Nw, Albuquerque, NM 87104-1200 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KORYN KIESLING MICHAUD.
| 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.