CAROLINE GALLEGOS (NPI# 1851959316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851959316 |
| Entity Type | Individual |
| Full Name | CAROLINE GALLEGOS |
| Credential | RN |
| Practice Address |
1100 W. 21st Street Clovis NM 88101 |
| Practice Telephone | 5757692345 |
| Mailing Telephone | 5757692345 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R60473 | NM | Nursing Service Providers |
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
R60473 | NM | Nursing Service Providers |
| Street Address |
1100 W. 21ST STREET |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558609867 | Patricia K Loveland | Counselor | 1100 W. 21st Street, Clovis, NM 88101 | 2013-01-21 |
| 1740824283 | Jennifer Machado | Counselor | 1100 W. 21st Street, Clovis, NM 88101 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463894 | Clara Godwin | Registered Nurse | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-10-08 |
| 1568955938 | Gayla Jaquess | Registered Nurse | 1100 W 21st St, Clovis, NM 88101 | 2018-06-11 |
| 1922509835 | Chantal Gates | Registered Nurse | 1100 W 21st St, Clovis, NM 88101-4151 | 2018-02-26 |
| 1639415888 | Patricia Martinez | Registered Nurse | 1100 W 21st St, Clovis, NM 88101-4151 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185948 | Trinity Christian Camps, Ltd | Registered Nurse | 1698 S Roosevelt Road 13, Portales, NM 88130-8705 | 2018-08-27 |
| 1841796224 | Patricia Mccarty | Registered Nurse | 49 Twin Peaks Rd Se, Albuquerque, NM 87123-3906 | 2018-04-03 |
| 1326548355 | Dana Tapia | Registered Nurse | 49 Camino La Canada, Los Lunas, NM 87031-8177 | 2018-02-16 |
| 1730691742 | Larissa Baldonado | Registered Nurse | 236 Don Pasqual Rd Nw, Los Lunas, NM 87031 | 2017-10-31 |
| 1639579352 | Cynthia Brooks | Registered Nurse | 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 | 2014-08-29 |
| 1457698714 | Diane M Broome | Registered Nurse | 11a Leaping Powder Rd, Santa Fe, NM 87508-5923 | 2013-01-07 |
| 1588948905 | Catherine Mary Yarmey-legg | Registered Nurse | 1621 Saratoga Dr Ne, Rio Rancho, NM 87144-1511 | 2011-10-04 |
| 1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
| 1023137155 | Cynthia Fraser | Registered Nurse | 516 Nizhoni Boulevard, Bldg. F, Gimc, Phn, Gallup, NM 87301 | 2007-03-28 |
| 1194802017 | James Lee Sutton | Registered Nurse | Jicarilla Health Care Facility, 12000 Stone Lake Rd, Pob 187, Dulce, NM 87528 | 2006-11-01 |
| 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.