DR. KELLIE LYNN ARVISO (NPI# 1841585353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841585353 |
| Entity Type | Individual |
| Full Name | DR. KELLIE LYNN ARVISO |
| Credential | M.D. |
| Practice Address |
1 University of New Mexico Msc116093 Albuquerque NM 87131-0001 |
| Mailing Address |
1500 Vassar Dr Ne Albuquerque NM 87106-2657 |
| Practice Telephone | 5052726224 |
| Mailing Telephone | 5058706950 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
MD2015-0395 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 UNIVERSITY OF NEW MEXICO MSC116093 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008622 | Stephanie Fine | Surgery | 1 University of New Mexico, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2005-07-26 |
| 1730790601 | Suzanne Vaccaro | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-08-13 |
| 1194342360 | Auguste Shimwa Niyibizi | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-02 |
| 1376166033 | Mohammad G Hamed | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-05-28 |
| 1033739511 | Jeremiah David Simmons | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc09-5030, Albuquerque, NM 87131-0001 | 2020-04-24 |
| 1962021410 | Andreas Olof Kruse | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Dept of Psychiatry and Behavioral Sciences, Msc095030, Albuquerque, NM 87131-0001 | 2020-04-15 |
| 1174142541 | Maxwell A Witt | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-15 |
| 1902425556 | Chelsey Lynn Tarazi | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-14 |
| 1437778362 | Joleysa Anne Silva Manese | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-10 |
| 1972122125 | Brittney Michelle Williams | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083914519 | Joshua I Santos | Anesthesiology | Univ of New Mexico Anesthesiology Division, 1 University of New Mexico; Msc 10-6000, Albuquerque, NM 87131 | 2010-11-01 |
| 1255568077 | Anna Hoard | Anesthesiology | Msc11 6039 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-06-18 |
| 1750589727 | Todd Dettmer | Anesthesiology | Unm Dept of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-07-10 |
| City | ALBUQUERQUE |
| Zip Code | 87131 |
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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.