SANDY ETIGSON (NPI# 1841404605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841404605 |
| Entity Type | Individual |
| Full Name | SANDY ETIGSON |
| Practice Address |
249 White Mountain Dr Mescalero NM 88340-9622 |
| Practice Telephone | 5054644431 |
| Practice Fax Number | 5054644822 |
| Mailing Telephone | 5054644431 |
| Mailing Fax Number | 5054644822 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
2458 | NM | Behavioral Health & Social Service Providers |
| Street Address |
249 WHITE MOUNTAIN DR |
| City | MESCALERO |
| State | NM |
| Zip Code | 88340-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669686333 | Ruth Ann Curtis | Occupational Therapist | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2007-05-10 |
| 1295162030 | La Frontera Center Inc. Dba La Frontera New Mexico, Inc. | Clinic/Center | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2013-10-10 |
| 1124203070 | Julian Romero | Counselor | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2008-01-09 |
| 1528249778 | Janice Larue Merino | Counselor | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2007-11-16 |
| 1265611859 | Hjalmar Merino | Counselor | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2007-10-31 |
| 1831303692 | Kasi Holland | Speech-Language Pathologist | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2007-05-10 |
| 1720292576 | Mescalero | Psychologist | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748282 | Mescalero Apache Tribe | Community/Behavioral Health | 311 War Bonnet Drive, Mescalero, NM 88340 | 2018-01-25 |
| 1487030755 | Marjorie Hogue | Pharmacist | 308 Abalone Loop, Mescalero, NM 88340 | 2015-08-10 |
| 1043641558 | Mescalero Apache Tribe | Ambulance | 25220 Highway 70, Mescalero, NM 88340 | 2013-12-09 |
| 1255681987 | Reginelle Tortilla | Case Manager/Care Coordinator | 249 Mountain Drive, Mescalero, NM 88340 | 2012-09-10 |
| 1689967051 | Yolanda Shemika Jenkins | Registered Nurse | 318 Abaloone Loop, Mescalero, NM 88340 | 2011-05-18 |
| 1972811487 | Pamela Rose Evans | Case Manager/Care Coordinator | 249 White Mtn. Dr., Mescalero, NM 88340 | 2010-09-17 |
| 1306162821 | David E Hernandez | Counselor | 148 Cottonwood Dr., Mescalero, NM 88340 | 2010-04-08 |
| 1235454018 | Steve A Loepz | Counselor | 148 Cottonwood Drive, Mescalero, NM 88340 | 2010-04-05 |
| 1457584666 | Valerie Vanaya Comanche | Case Manager/Care Coordinator | 249 White Mountain Dr., Mescalero, NM 88340 | 2009-09-03 |
| 1093948291 | Alicia Renee Chico | Case Manager/Care Coordinator | 249 White Mountain Drive, Mescalero, NM 88340 | 2009-09-03 |
| Find all providers in zip 88340 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720292576 | Mescalero | Psychologist | 249 White Mountain Dr, Mescalero, NM 88340-9622 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703701 | Cara Jean Burrola | Psychologist | 1111 Capitan St Nw, Los Lunas, NM 87031-6909 | 2020-09-08 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1003384181 | Patricia Keeler | Psychologist | # 50 County Rd. 13, Cuba, NM 87013 | 2018-11-07 |
| 1427562107 | Tascha Just | Psychologist | 1 Sunlit Dr E, Santa Fe, NM 87508-8993 | 2017-11-16 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1477004281 | Ciarra Marrufo | Psychologist | 1100 W Bullock Ave, Artesia, NM 88210-2342 | 2016-10-17 |
| 1346697026 | Mary E. Sawyers, Ma, Lpcc | Psychologist | 1200 N White Sands Blvd Ste 118, Alamogordo, NM 88310-6774 | 2016-05-23 |
| 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.