EILEEN KEREM (NPI# 1760642920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760642920 |
| Entity Type | Individual |
| Full Name | EILEEN KEREM |
| Credential | CNP |
| Practice Address |
1650 Hospital Dr Suite 400 Santa Fe NM 87505-4769 |
| Practice Telephone | 5059842300 |
| Practice Fax Number | 5059881940 |
| Mailing Telephone | 5059842300 |
| Mailing Fax Number | 5059881940 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
CNP01602 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1650 HOSPITAL DR SUITE 400 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407868995 | Robert Jan Kossmann | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2006-08-12 |
| 1821549643 | Sheila Hundley | Nurse Practitioner | 1650 Hospital Dr, Suite 800, Santa Fe, NM 87505-4769 | 2016-10-17 |
| 1548514623 | Heather H. Sena Md PC | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2012-10-29 |
| 1437402450 | Sarah Elizabeth Aragon | Nurse Practitioner | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2012-10-16 |
| 1710259692 | Stephen Lucero, Md, PC | Urology | 1650 Hospital Dr, Suite 300, Santa Fe, NM 87505-4769 | 2012-02-07 |
| 1447568811 | Mark Seredowych, Md, PC | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2010-09-20 |
| 1942452925 | Vaida M. Stoik Md PC | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2008-10-21 |
| 1841480639 | Alfred Wayland Pinkerton Jr. | Specialist | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2007-07-27 |
| 1942326608 | Ellen Wittman | Physician Assistant | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2007-03-22 |
| 1225162266 | Adult Medicine Specialists of Santa Fe | Internal Medicine | 1650 Hospital Dr, Suite 400, Santa Fe, NM 87505-4769 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336322064 | Saundra K Mckenna | Nurse Practitioner | 2074 Galisteo St Ste B1, Santa Fe, NM 87505-2157 | 2007-12-17 |
| 1922285915 | Cynthia A Mcalpin | Nurse Practitioner | 1692 Hospital Dr, Santa Fe, NM 87505-4754 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392989 | Kristen Gorbitz | Nurse Practitioner | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-16 |
| 1265491146 | Linda Dominguez | Nurse Practitioner | 883 Lead Avenue Se Suite A, Alb, NM 87102 | 2006-03-21 |
| 1366439606 | Michelle Marie Harmon | Nurse Practitioner | 208 W Casablanca Cannon Afb, Bldg 1400 27 Medical Group, Clovis, NM 88103-5014 | 2005-10-03 |
| 1740273192 | Celeste Baczeski Suminsby | Nurse Practitioner | 6320 Riverside Plaza Ln Nw Ste A, Albuquerque, NM 87120 | 2005-08-31 |
| 1215933759 | Kathleen Jo Austin | Nurse Practitioner | 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005 | 2005-06-21 |
| 1821492638 | Melissa Ashley Sprinkle | Nurse Practitioner | 2000 W 21st St, Suite A-1, Clovis, NM 88101-4087 | 2014-10-22 |
| 1689920449 | Rebecca Tawney Weatherford | Nurse Practitioner | 3741 Rutledge Rd Ne, Albuquerque, NM 87109-5566 | 2012-07-31 |
| 1679865844 | Phyllis Estes Bergman | Nurse Practitioner | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4117 | 2011-05-06 |
| 1124262415 | San Juan Regional Medical Center Inc | Nurse Practitioner | 655 W Pinon St, Farmington, NM 87401-5973 | 2009-04-30 |
| 1942445101 | Rose Rowan | Nurse Practitioner | 801 Vassar Dr Ne, Albuquerque, NM 87106 | 2008-12-02 |
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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.