MARY M. FORLINES (NPI# 1801866983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801866983 |
| Entity Type | Individual |
| Full Name | MARY M. FORLINES |
| Credential | CNM |
| Practice Address |
1900 Redrock Dr Rehoboth Mckinley Christian Health Care Services Gallup NM 87301-5682 |
| Mailing Address |
1901 Redrock Dr Pfs Dept Gallup NM 87301-5683 |
| Practice Telephone | 5058637200 |
| Mailing Telephone | 5058637000 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 457 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BC/BS | NM006605 | 01 |
| MOLINA | PROVP12986 | 01 | |
| LOVELACE HEALTH/SALUD | 10002995 | 01 | |
| NM | A7256 | 05 | |
| AZ | 560377 | 05 | |
| CHAMPUS | 850313268020 | 01 |
| Street Address |
1900 REDROCK DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743056 | Steven Arrowsmith | Urology | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-05 |
| 1679593420 | Kevin Dale Perdue | Orthopaedic Surgery | 1900 Redrock Dr, Gallup, NM 87301-5682 | 2006-07-21 |
| 1538131321 | Linda Van Asselt-king | Advanced Practice Midwife | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-02-06 |
| 1821060633 | David R Webb | Neuromusculoskeletal Medicine, Sports Medicine | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-02-06 |
| 1003887829 | Philip Kamps | Obstetrics & Gynecology | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-30 |
| 1609846658 | Theodore L. Lemle | Surgery | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Services, Gallup, NM 87301-5682 | 2006-01-24 |
| 1386622561 | Kimberly Marie Kesler | Surgery | 1900 Redrock Dr, Gallup, NM 87301-5682 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912482118 | Jessica Caroline Thienes | Advanced Practice Midwife | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-10-03 |
| 1942785050 | Anna Terese Jacobsen | Advanced Practice Midwife | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-09-25 |
| 1780123430 | Kizzie Ricks | Advanced Practice Midwife | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-02-14 |
| 1720489933 | Melissa Penn | Advanced Practice Midwife | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-09-07 |
| 1821316597 | Sarah N Hajjaji | Advanced Practice Midwife | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-05-05 |
| 1972750735 | Elizabeth Lynne Dalton | Advanced Practice Midwife | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-08-24 |
| 1336331818 | Becky Lynn Anton | Advanced Practice Midwife | 516 E. Nizhoni Blvd, Gallup, NM 87301-5748 | 2007-08-17 |
| 1538131321 | Linda Van Asselt-king | Advanced Practice Midwife | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133357 | Audra Mckillip-heard | Advanced Practice Midwife | 5027 Midnight Vista Ave Nw, Albuquerque, NM 87114-4380 | 2020-10-28 |
| 1194337378 | Sureyya Stone | Advanced Practice Midwife | 1317 Calle Del Ranchero Ne, Albuquerque, NM 87106-1106 | 2020-08-19 |
| 1427605666 | Emily Levingston Luna | Advanced Practice Midwife | 138 W Mountain Ave, Las Cruces, NM 88005-1827 | 2019-08-22 |
| 1275198467 | Elyse Ahnael | Advanced Practice Midwife | 4 Petunia Ct, Sandia Park, NM 87047-6800 | 2019-05-03 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1720507791 | Raelynn Currence | Advanced Practice Midwife | 132 Paseo Vista Loop Ne, Rio Rancho, NM 87124 | 2017-09-11 |
| 1114445095 | Donyelle Sharmane Miller | Advanced Practice Midwife | 2211 Lomas Blvd Ne Unmh - Obgyn, Albuquerque, NM 87131-6510 | 2017-08-31 |
| 1629593165 | Susan Hendren | Advanced Practice Midwife | 177 Mcnabb Rd, Moriarty, NM 87035-5433 | 2017-08-06 |
| 1922522440 | Donna Mae Dineyazhe | Advanced Practice Midwife | Po Box 160, Shiprock, NM 87420-0160 | 2017-07-26 |
| 1780129403 | Samantha Gallegos-gollihugh | Advanced Practice Midwife | 4729 Sundial Way, Santa Fe, NM 87507-2785 | 2017-01-04 |
| 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.