SHANDIE ALDACO (NPI# 1770963290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770963290 |
| Entity Type | Individual |
| Full Name | SHANDIE ALDACO |
| Practice Address |
110 E Mescalero Rd Roswell NM 88201-6542 |
| Mailing Address |
Po Box 843 Portales NM 88130-0843 |
| Practice Telephone | 5756231480 |
| Practice Fax Number | 5756223325 |
| Mailing Telephone | 5753566695 |
| Mailing Fax Number | 5753565948 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
110 E MESCALERO RD |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938952 | Mary Sue Blackhurst | Counselor | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2005-11-10 |
| 1154939502 | Madison Holm | Case Manager/Care Coordinator | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2020-07-21 |
| 1346884517 | Marisa Juarez | Case Manager/Care Coordinator | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2019-10-31 |
| 1346897634 | Erin Jeanette Montgomery | Marriage & Family Therapist | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2019-08-21 |
| 1255985693 | Misty Renee Sturtevant | Social Worker | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2019-07-24 |
| 1205488715 | Sara Michelle Rodriguez | Counselor | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2019-07-15 |
| 1801355672 | Camille Berrones | Social Worker | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2019-03-19 |
| 1346721933 | Rebeca Vazquez | Case Manager/Care Coordinator | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2018-08-22 |
| 1104315985 | Johnny Ray Ibarra | Social Worker | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2018-05-07 |
| 1528565959 | Jazmin E Sarabia | Case Manager/Care Coordinator | 110 E Mescalero Rd, Roswell, NM 88201-6542 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356623326 | Renee Wymer | Specialist | 128 Woodstock Rd, Roswell, GA 30075-3548 | 2011-09-15 |
| 1598076978 | Theresia Lynn Greer | Specialist | 1293 Minhinette Dr, Roswell, GA 30075-3662 | 2010-06-30 |
| 1053546796 | Siavash Karimian Md of New Mexico PC Dba Roswell Medico | Specialist | 1621 N. Washington Ave, Roswell, NM 88201 | 2009-05-26 |
| 1376777540 | Veronica Daye Burnett | Specialist | 920 Holcomb Bridge Rd, Ste 300, Roswell, GA 30076-4385 | 2009-05-04 |
| 1851572176 | Tim Cummings, Md LLC | Specialist | 1260 Upper Hembree Rd, Suite C, Roswell, GA 30076-4611 | 2007-11-15 |
| 1447430509 | Roswell Ear, Nose & Throat & Allergy L. L. C. | Specialist | 342 Sherrill Ln Ste A, Roswell, NM 88201-5831 | 2007-11-06 |
| 1306067418 | Excellence In Therapy, Inc. | Specialist | Excellence In Therapy Inc. 345 Ridge Court, Roswell, GU 30076 | 2007-05-02 |
| 1760503692 | Nolsvols Inc. | Specialist | 11255 Woodstock Road, Suite 200, Roswell, GA 30075 | 2007-04-02 |
| 1548396013 | Kimberly E Wootton | Specialist | 345 Ridge Ct, Roswell, GA 30076-2620 | 2007-02-26 |
| 1003941337 | Sarah C Carver | Specialist | 345 Ridge Court, Excellence In Therapy, Roswell, GA 30076 | 2007-02-23 |
| Find all providers in ROSWELL | ||||
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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.